Rosana Marzullo-Dove, PSYD, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROSANA MARZULLO-DOVE, PSYD, LLC

Practice address

912 W Platt St Ste 101
Tampa, FL 33606-2108

Phone

(813) 613-8587

NPI assigned

Jun 6, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rosana Marzullo-Dove, PSYDNPI 1962979583

Title

Sole Owner

Phone

(813) 613-8587

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosana Marzullo-Dove, PSYD

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1962979583
  Authorized official Same address or phone
• Donna Wilson

  • Counselor
  • St. Pete, FL
  • NPI 1487907358
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1952960684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W PLATT ST STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062108",
            "telephone_number": "813-613-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W PLATT ST STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062108",
            "telephone_number": "813-613-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Gulf To Bay Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337594304",
            "country_code": "US",
            "telephone_number": "813-613-8587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSANA MARZULLO-DOVE, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MARZULLO-DOVE",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "813-613-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diannys Rosales
• Jasmine Rosales
• John Paul Gerard Nazareno Rosales, M.D.
• Marcella Rosales, RRT
• Sarah Alexandra Rosales, DNP, APRN, PMHNP-BC
• Rosario Counseling, LLC
• Rosario S Crane P a
• Afranio R Rosario, MASSAGE THERAPIST
• Alicia Rosario, PA
• Angel M Rosario, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.