DR. MICHELLE RUBIN ROSENBAUM PH.D.
NPI 1619172699
Psychologist - Clinical Child & Adolescent in Fort Myers, FL

Q: What is Michelle Rosenbaum's NPI number?

The NPI number for Michelle Rosenbaum is 1619172699. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Michelle Rosenbaum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since June 19, 2007PECOS Enrolled

15901 BASS RD STE 108, FORT MYERS, FL 33908(239) 343-6050(239) 343-6051 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Michelle Rubin Rosenbaum Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE RUBIN ROSENBAUM PH.D. (NPI 1619172699) is an individual clinical child & adolescent provider in Fort Myers, Florida, licensed in Florida (PY5962) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619172699

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MICHELLE RUBIN ROSENBAUMCredential: PH.D.

Location Address15901 BASS RD STE 108Fort Myers, FL 33908-3838

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6051

Phone(239) 343-6050

Fax(239) 343-6051

Sole ProprietorNo

Enumeration DateJune 19, 2007

Last NPPES UpdateSeptember 6, 2024

NPPES CertifiedSeptember 6, 2024

✔ NPI 1619172699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in FL · PY5962

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License PY5962 (FL)

15901 BASS RD STE 108, Fort Myers, FL 33908

Open in Google Maps ↗

Other Identifiers 1

Medicaid104804100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Rubin Rosenbaum Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPA VADUTHALAKUZHY LUKA MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)