Jennifer Rossi PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1602 Issued in OR

Legal business name

JENNIFER ROSSI PHD PC

Practice address

3520 Frontage Rd
Reedsport, OR 97467-1720

Phone

(541) 662-0527

Fax

(541) 271-9502

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Rene Rossi, PH.D.NPI 1841236544

Title

President

Phone

(541) 662-0527

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rene Rossi, PH.D.

  • Clinical Psychologist
  • Florence, OR
  • NPI 1841236544
  NPD Authorized official
• Rigpa Shunya, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1306154133
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053593301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974670734",
            "telephone_number": "541-662-0527",
            "fax_number": "541-271-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 FRONTAGE RD",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671720",
            "telephone_number": "541-662-0527",
            "fax_number": "541-271-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ROSSI PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-662-0527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale E Harris, MD
• Hide Away Project LLC
• Gary J Hood, PHARMD MBA
• Elaine Marian Hooper, ANP
• Richard Stephen Jany, MD
• Shynar Johnson, PA-C
• John William Jones
• Sarah M Jones, PA
• Gautham Reddy Kandukuri, M.D.
• Robert D Law, MD

• Clinical Psychologist in Reedsport, OR
• Providers in Reedsport, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.