Organization Active NPI

Rose Behavioral Healthcare Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1124537360
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024175122 Issued in VA
Legal business name
ROSE BEHAVIORAL HEALTHCARE SERVICES, PLLC
Practice address
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone
(757) 460-4655
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Alicia Nicole Rose, CNS, NP
Title
Manager
Phone
(757) 460-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0024175122 VA Primary

Addresses

Primary practice location

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447

Mailing address

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1124537360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE BEHAVIORAL HEALTHCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-460-4655",
        "authorized_official_credential": "CNS, NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.