Rosewood Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROSEWOOD PSYCHIATRY

Practice address

225 Endicott Ave
Revere, MA 02151-4291

Phone

(203) 213-0247

NPI assigned

Apr 26, 2021

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Rose Jankowski, PMHNPNPI 1245885425

Title

Nurse Practitioner

Phone

(203) 213-0247

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Rose Jankowski, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Revere, MA
  • NPI 1245885425
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1013599455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ENDICOTT AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514291",
            "telephone_number": "203-213-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ENDICOTT AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514291",
            "telephone_number": "203-213-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-213-0247",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvish Rodrigues
• David M Roll, M.D.
• Rene Romero-Reyes
• Patricia Anne Rosell, MSW, LICSW
• Barbara Rosen-Acevedo Rosen-Acevedo
• Aria Ross
• Julia Donnell Rothenberg, RN
• Tiffani Alise Rouse
• Joanne Rowley, PMHCNS-BC
• Caroline Royer

• Psychiatric/Mental Health Nurse Practitioner in Revere, MA
• Providers in Revere, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.