Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle Rubin Rosenbaum, PHD

Individual provider Psychologist · NPI 1619172699

Dr. Michelle Rubin Rosenbaum, PHD is a Psychologist in Fort Myers, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

15901 Bass Rd Ste 108
Fort Myers, FL 33908-3838
Phone: (239) 343-6050
Fax: (239) 343-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4461 Camino Real Way, Fort Myers, FL 33912-1019 — (239) 936-1336

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PY5962 (FL)
Psychologist Taxonomy 103T00000X · Licence PY5962 (FL)

Record details

NPI number1619172699
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

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