Individual provider Active NPI

Valerie Rosen, PH.D.

  • Clinical Psychologist
  • Ardmore, PA
National Provider Identifier
1003166422
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017255 Issued in PA
Practice address
602 Woodcrest Ave
Ardmore, PA 19003-1920
Phone
(267) 634-1719
NPI assigned
Sep 13, 2012
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017255 PA Primary

Addresses

Primary practice location

602 Woodcrest Ave
Ardmore, PA 19003-1920

Mailing address

602 Woodcrest Ave
Ardmore, PA 19003-1920
Phone (267) 634-1719

Other names 1

  • Valerie Rosen Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017002790 PA Practitioner - Clinical Psychologist 7214237502 Practice locations: Philadelphia, PA; Ardmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

255 S 17TH St
Suite 1605
Philadelphia, PA 19103-6216
Phone (267) 634-1719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017255PAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1003166422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WOODCREST AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031920",
            "telephone_number": "267-634-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WOODCREST AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031920",
            "telephone_number": "267-634-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "WILSON",
            "middle_name": "ROSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.