Active NPI
Ruth Susan Rosenstein, LCSW
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1033351333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LCSW-3888
- Practice address
- 12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6393 - Phone
- (180) 032-5398
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LCSW-3888 | AZ | Primary |
Addresses
Primary practice location
12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6393
Mailing address
12647 Olive Boulevard
Suite 600
St. Louis, MO 63141
Phone (180) 032-5398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-335-7595 | Other | NJ | FEDERAL I.D. # 22-335-7595 |
| RO523636 | Other | NJ | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3888 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1033351333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12647 OLIVE BOULEVARD",
"address_2": "SUITE 600",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "180-032-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12647 OLIVE BLVD",
"address_2": "SUITE 600",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416393",
"telephone_number": "180-032-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTEIN",
"first_name": "RUTH",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "LCSW-3888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL I.D. # 22-335-7595",
"identifier": "22-335-7595",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "RO523636",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.