Rose Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004066 Issued in GA

Legal business name

ROSE PSYCHOLOGICAL SERVICES, LLC

Practice address

240 Creekstone RDG
Woodstock, GA 30188-3732

Phone

(404) 532-9246

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sara Roland Rose, PSY.D.NPI 1639543218

Title

Owner

Phone

(404) 532-9246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Sara Roland Rose, PSY.D.

  • Clinical Psychologist
  • Woodstock, GA
  • NPI 1639543218
  Medicare reassignment NPD Authorized official
• Carol R Cohen, PH.D.

  • Clinical Psychologist
  • Woodstock, GA
  • NPI 1053392993
  NPD (past)
• John Roman Lutz, PH.D.

  • Clinical Psychologist
  • Woodstock, GA
  • NPI 1538235312
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1144767591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "404-532-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "404-532-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-532-9246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Roderick, DMD
• Kadisha Roxanne Rodriques-Thomas, MD
• Devon Rogers, OTR/L
• Kelsey Rollins
• Kelly Rosario, APRN
• Jennifer R Rose-Heflin, LPC
• Ashley Judith Rose, SLP
• Sara Roland Rose, PSY.D.
• Tyler Rose
• Christopher Thomas Ross, PT, DPT

• Clinical Psychologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.