NPIMap

Organization Active NPI

Thomas S Rosenbaum

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1144751504
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301001432 Issued in MI
Legal business name
THOMAS S ROSENBAUM
Practice address
4343 Concourse Dr Ste 250
Ann Arbor, MI 48108-8672
Phone
(734) 677-0200
Fax
(734) 677-3310
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Thomas S Rosenbaum, PHDNPI 1518013986
Title
Owner / Authorized Official
Phone
(734) 677-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301001432 MI Primary

Addresses

Primary practice location

4343 Concourse Dr Ste 250
Ann Arbor, MI 48108-8672

Mailing address

4343 Concourse Dr Ste 250
Ann Arbor, MI 48108-8672
Phone (734) 677-0200

National Provider Directory

National Provider Directory
Tax ID family
Thomas S Rosenbaum3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1144751504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S ROSENBAUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-677-0200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.