Leonard J. Rosen, M.D. PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

4301033083 Issued in MI

Legal business name

LEONARD J. ROSEN, M.D. PC

Practice address

30538 Fox Club Dr
Farmington Hills, MI 48331-1988

Phone

(734) 246-7447

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leonard J Rosen, M.DNPI 1841283587

Title

Physician

Phone

(734) 246-7477

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Leonard J Rosen, M.D.

  • Psychiatry Physician
  • Farmington Hills, MI
  • NPI 1841283587
  Medicare reassignment NPD Authorized official
• Sharon Lois Rosen, RN, LCSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1285061259
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1124059951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30538 FOX CLUB DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311988",
            "telephone_number": "734-246-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30538 FOX CLUB DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311988",
            "telephone_number": "734-246-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD J. ROSEN, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-246-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "4301033083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "LR033083",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089146",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "2608282111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonela Leon
• Riannon Leon
• Stephanie Leon
• Viviana Leon
• Amber Leonard Casteel
• Alyssa Nicole Leonard
• Autumn Leonard
• Brooke Leonard
• Dejay Leonard
• Haley Leonard

• Adult Mental Health Clinic/Center in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.