Dr Rosa Center for Mental Health PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME71617 Issued in FL

Legal business name

DR ROSA CENTER FOR MENTAL HEALTH PA

Practice address

5451 N University Dr Ste 102
Coral Springs, FL 33067-4641

Phone

(954) 757-7672

Fax

(954) 757-7670

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edward Peter Rosa, M.M.,M.P.HNPI 1982760724

Title

Owner Operator

Phone

(954) 757-7672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Edward P Rosa, MD

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1982760724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1902044910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674641",
            "telephone_number": "954-757-7672",
            "fax_number": "954-757-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674641",
            "telephone_number": "954-757-7672",
            "fax_number": "954-757-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROSA CENTER FOR MENTAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "954-757-7672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.M.,M.P.H"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME71617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.