Rosaen Psychology

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6301016069 Issued in MI

Legal business name

ROSAEN PSYCHOLOGY

Practice address

550 Forest Ave Ste 16-3
Plymouth, MI 48170-3793

Phone

(734) 306-5143

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Ashley Rosaen, PSYD

Title

President

Phone

(734) 306-5143

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1134627722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 NB GRATIOT AVE UNIT 31",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432371",
            "telephone_number": "734-306-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 16-3",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703793",
            "telephone_number": "734-306-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAEN PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "ROSAEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-306-5143",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301016069",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6301016069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Romer
• Ronald P Adelman DPM PLLC
• Jason Rooker
• Rooted Chiropractic Canton PLLC
• Madison Ropp
• Alicia Marya Rose
• Darrin Rose
• Kagen Rose
• Kara Rose
• Kristi Lyn Rose, LMSW

• Adult Mental Health Clinic/Center in Plymouth, MI
• Providers in Plymouth, 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 Jan 29, 2018; 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.