Wilma G Rosen, PH.D., P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

006745-2 Issued in NY

Legal business name

WILMA G ROSEN, PH.D., P.C.

Practice address

1120 Park Ave
New York, NY 10128-1242

Phone

(212) 289-6406

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wilma G Rosen, PH.D.

Title

President

Phone

(718) 548-0881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1033377387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 HENRY HUDSON PKWY",
            "address_2": "3F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634713",
            "telephone_number": "718-548-0881",
            "fax_number": "718-548-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281242",
            "telephone_number": "212-289-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMA G ROSEN, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-548-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "006745-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlyn Alison Willson
• Jessica Taylor Wilm, PA-C
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• Daniella Wilner, MS, CGC
• Elizabeth Wilner, RD
• Judy Schaer Wilner

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.