Sally Jane Rosenberg, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7718 Issued in MI

Practice address

3150 Gilbert Ridge Dr
West Bloomfield, MI 48322-1833

Phone

(248) 626-7735

Fax

(248) 851-0259

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Michigan State University College of Osteopathic Medicine, 1979

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal & Family Adjustment Center PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, MI
  • NPI 1669478921
  Medicare reassignment
• American Arthritis & Rheumatology Associates -Mi PLLC

  • Rheumatology Physician
  • Sterling Heights, MI
  • NPI 1538655469
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1033150396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 GILBERT RIDGE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221833",
            "telephone_number": "248-626-7736",
            "fax_number": "248-851-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 GILBERT RIDGE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221833",
            "telephone_number": "248-626-7735",
            "fax_number": "248-851-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER I.D. NO.",
            "identifier": "138031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deni Rose
• Yehudis Rosen, MS ED., BCBA
• Eric Marc Rosenbaum, D.O.
• David Rosenberg, D.P.M.
• Howard Rosenberg, D.C.
• Jill Elyse Rosenfeld, PT
• Hilary Ann Rosenthal, DPM
• David Rosman, M.D.
• Ross Id Specialists PLLC
• Christopher Ross, MD

• Psychiatry Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.