Provider Demographics
NPI:1194609982
Name:ROSENBLAT, TAYLOR PAIGE (PSYD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:PAIGE
Last Name:ROSENBLAT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21311 NE 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1553
Mailing Address - Country:US
Mailing Address - Phone:786-262-7282
Mailing Address - Fax:786-262-7282
Practice Address - Street 1:5665 PONCE DE LEON BLVD BLDG 2ND
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2510
Practice Address - Country:US
Practice Address - Phone:786-262-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12871103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical