DIANNE E ROSEN (PH.D.) – Clinical Psychologist, NPI 1770524241

DIANNE E ROSEN (PH.D.) is a healthcare provider. based in Ft lauderdale, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY2553 (FL). The NPI Number for DIANNE E ROSEN (PH.D.) is 1770524241

Main info

Female
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DIANNE E ROSEN (PH.D.)
NPI
1770524241
Phone
(305) 935-1364
Address
3107 STIRLING RD
Enumeration Date
8 June 2006
Last Update Date
28 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059351364
Graduation Year
1979 (47 years ago)
PAC ID
5092719229
Professional Enrollment ID
I20060831000114
Address ID
FL333128500FT3107XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DIANNE E ROSEN (PH.D.)

  • Hampton Inn & Suites Ft. Lauderdale Airport/South Cruise Port, 2500, Stirling Road, Dania Beach, Broward County, Florida, 33004, United States

    SUITE 103

    FT LAUDERDALE, FL 333126565

    Phone: (305) 935-1364

    Fax: (305) 935-1439

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060831000114IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33312)

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Reviews

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Frequently asked questions

What is the standard ID for DIANNE E ROSEN (PH.D.) in the U.S.?
In the U.S., DIANNE E ROSEN (PH.D.) is identified by NPI 1770524241.
Is DIANNE E ROSEN (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists DIANNE E ROSEN (PH.D.) as active.
What does the directory say DIANNE E ROSEN (PH.D.) does?
Insurance directories may phrase it differently, but here DIANNE E ROSEN (PH.D.) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DIANNE E ROSEN (PH.D.) in Ft Lauderdale, Florida?
For routing, start with Ft Lauderdale, Florida for DIANNE E ROSEN (PH.D.), then verify phone and hours locally.
Why is information missing for DIANNE E ROSEN (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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