Peter Lee Rosencrans, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS2624 Issued in ME

Practice address

171 Warren Ave
Portland, ME 04103-1103

Phone

(207) 607-4022

NPI assigned

Dec 10, 2018

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Psychology Specialists of Maine

  • Counseling Psychologist
  • Brunswick, ME
  • NPI 1326571241
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1093286577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WARREN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031103",
            "telephone_number": "207-607-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WARREN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031103",
            "telephone_number": "207-607-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Maine St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112033",
            "country_code": "US",
            "telephone_number": "207-607-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENCRANS",
        "first_name": "PETER",
        "middle_name": "LEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rose Welch, LADC, CCS
• Lauren Rachel Rose-Cohen, RN
• Sasha L Rose, N.D., L.AC.
• Rosebush Chiropractic LLC
• Craig J Rosebush, D.C.
• Hannah Rose Rosenfield, MD
• Rachel J. Rosenfield, LCSW
• Daniel S Rosenheck, LCSW
• Hunter Nicole Ross, PHARMD,RPH
• Jeannie M Ross, PNP

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.