Active NPI
Garrett Lee Rosas, PSYD
- Clinical Psychologist
- Gettysburg, PA
National Provider Identifier
1144345307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016587
- Practice address
- 334 York St
Gettysburg, PA 17325 - Phone
- (717) 337-0026
- Fax
- (717) 337-1260
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PS016587 | PA | Primary |
Addresses
Primary practice location
334 York St
Gettysburg, PA 17325
Mailing address
200 North 7TH Street
Attn Managed Care
Lebanon, PA 17046
Phone (717) 273-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016587 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1144345307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTH 7TH STREET",
"address_2": "ATTN MANAGED CARE",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-273-1710",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 YORK ST",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "17325",
"telephone_number": "717-337-0026",
"fax_number": "717-337-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "GARRETT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.