Individual provider Active NPI

Rosanny Minaya Guzman

  • School Psychologist
  • Bronx, NY
National Provider Identifier
1891521019
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
3079083 Issued in NY
Practice address
1834 Phelan PL Apt 3I
Bronx, NY 10453-5143
Phone
(718) 306-7959
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
School Psychologist 103TS0200X 3079083 NY Primary

Addresses

Primary practice location

1834 Phelan PL Apt 3I
Bronx, NY 10453-5143

Mailing address

1834 Phelan PL Apt 3I
Bronx, NY 10453-5143
Phone (718) 306-7959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3079083NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Care ABA Therapy Corp Behavior Technician CurrentSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1891521019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 PHELAN PL APT 3I",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535143",
            "telephone_number": "718-306-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 PHELAN PL APT 3I",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535143",
            "telephone_number": "718-306-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAYA GUZMAN",
        "first_name": "ROSANNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "3079083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.