Donald L Rose PSYD and Associates PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0003878 Issued in FL

Legal business name

DONALD L ROSE PSYD AND ASSOCIATES PA

Practice address

5501 Bayview Drive
Fort Lauderdale, FL 33308

Phone

(954) 941-4388

Fax

(954) 941-4389

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald L Rose, PSY. D.NPI 1063461127

Title

Owner

Phone

(954) 941-4388

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald L Rose, PSY.D.

  • Clinical Neuropsychologist
  • Fort Lauderdale, FL
  • NPI 1063461127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1891742987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 N FEDERAL HWY STE 29",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081916",
            "telephone_number": "954-941-4388",
            "fax_number": "954-941-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BAYVIEW DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-941-4388",
            "fax_number": "954-941-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L ROSE PSYD AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-941-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0003878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063461127",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "K9846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PY0003878",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891742987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erick Dominguez
• Yanelis Dominguez
• Danielle Donahue, DO
• Elizabeth A Donahue
• Janis Leigh Donahue, DNP, FNP-C
• Kaeron Donaldson, LCSW
• Hannah Donato
• Clara Yoely Done
• Lystra R Donegan
• Margarita Caridad Donies, LMHC

• Clinical Neuropsychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.