DR. ROBERT J ROTUNDA (NPI# 1720172778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720172778 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J ROTUNDA |
| Credential | PHD |
| Practice Address |
890 South Palafox Street Suite 300 Pensacola FL 32502 |
| Practice Telephone | 8504331656 |
| Practice Fax Number | 8504331996 |
| Mailing Telephone | 8504331656 |
| Mailing Fax Number | 8504331996 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY5645 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 74438 | 01 |
| Street Address |
890 SOUTH PALAFOX STREET SUITE 300 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269121 | Cris William Jagar | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-09-23 |
| 1972696839 | Pashia D Groom | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| 1629161435 | The Anchor Clinic, LLC | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| 1184717027 | Kevin N Groom | Clinical Neuropsychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| 1023101821 | Shannon S Wright-johnson | Psychologist | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658044 | Erin Rabideau | Psychologist | 3356 Wellington Rd, Pensacola, FL 32504-7425 | 2016-09-30 |
| 1245521418 | Louis Desonier, Phd Pa | Psychologist | 1717 North 'e' St. Suite 303, Pensacola, FL 32501-6339 | 2011-04-22 |
| 1649410192 | Daniel L Dolgin Phd | Psychologist | 3298 Nighthawk Ln, Pensacola, FL 32506-9667 | 2009-02-24 |
| 1225243512 | Lawrence John Gilgun | Psychologist | 6160 N Davis Hwy Ste 9c, Pensacola, FL 32504-6967 | 2007-05-11 |
| 1306061957 | Michael Brant Demaria | Psychologist | 512 E Zaragoza St, Pensacola, FL 32502-6155 | 2007-04-16 |
| 1730241209 | Pensacola Psychological Clinic Pa | Psychologist | 3 W Garden St, Ste 370, Pensacola, FL 32502-5641 | 2006-12-14 |
| 1710072590 | Patricia Ann Black-gould | Psychologist | 10116 Bittern Dr # 32507, Pensacola, FL 32507-7208 | 2006-10-04 |
| 1649380718 | Jonathan Drake Miller | Psychologist | 4630 Canter Row, Pensacola, FL 32526-5077 | 2006-08-30 |
| 1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
| 1255367918 | Leisa D. Ludlam Ph.d., P.a. | Psychologist | 9007 University Pkwy, Pensacola, FL 32514-5525 | 2006-06-24 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.