Elaine Ruth Rotenberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4904 Issued in FL

Practice address

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039

Phone

(561) 684-1991

Fax

(561) 684-8582

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alpert Jewish Family & Children Services, Inc

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1588974950
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1912989104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991",
            "fax_number": "561-684-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991",
            "fax_number": "561-684-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTENBERG",
        "first_name": "ELAINE",
        "middle_name": "RUTH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PSYCH.",
            "identifier": "PY4904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Rossi, LCSW
• Mary Lee Rossi, PHARMD
• Isis E. Rosso, M.S. ED., ITDS
• Sue Ann Rostan, RD, LD
• Robert Joseph Rotella, DDS
• Christina Marie Rothman, PSY.D.
• David Rothman, MD
• Jeffrey Rothman
• Marijo Perry Rothschild, M.D,
• Neal Evan Rothschild, M.D.

• Clinical Psychologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.