Daniel Rosen, ED.D, ABPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301002472 Issued in MI

Practice address

983 Spaulding Ave SE
Ada, MI 49301-3701

Phone

(616) 942-0003

Fax

(616) 942-1401

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083719090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 SPAULDING AVE SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013701",
            "telephone_number": "616-942-0003",
            "fax_number": "616-942-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SPAULDING AVE SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013701",
            "telephone_number": "616-942-0003",
            "fax_number": "616-942-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "ED.D, ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301002472",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Dermatology PLLC
• River Way Psychological Services
• Jeremy B Roark, PH.D.
• Melissa Britton Roberts, RN
• Hilary Rogers
• Barbara Kay Rush-Rounds, O.T.R.
• Michael Cole Ryan, PHD
• Sally Ryan, PH.D
• Bonny Rye, LLP
• Samy Salhadar, D.D.S

• Psychologist in Ada, MI
• Providers in Ada, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.