Jodi S Rosenfeld, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS015807 Issued in PA

Practice address

112 Bala Ave
Bala Cynwyd, PA 19004-3025

Phone

(610) 667-6490

Fax

(610) 667-1744

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anxiety & Agoraphobia Treatment Center, PC

  • Clinical Psychologist
  • Bala Cynwyd, PA
  • NPI 1912015603
  NPD (past)
• Medop Behavioral Health Associates of Maryland PC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1447203963
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490",
            "fax_number": "610-667-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490",
            "fax_number": "610-667-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "JODI",
        "middle_name": "S",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2490424000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1779378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rooted Mind Psychiatric Services, PLLC
• Anthony L Rosa, M.D.
• Cristina Marie Rosano, OD
• Tzivia Esti Rosen, M.S. CCC-SLP
• Ann Rosenbaum Pelberg, LCSW
• Amy Rosenthal-Moskow, O.T.
• Craig Ross, DO
• Emily Jayne Ross, MSOT
• Roy T Lefkoe MD PC
• Elizabeth Roy, PSY.D.

• All providers in Bala Cynwyd, PA
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.