Individual provider Active NPI

Jennifer Saul Rosvally, MSW

  • Mental Health Counselor
  • Bedford Hills, NY
National Provider Identifier
1184772295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NYS020573 Issued in NY
Practice address
66 Main St
Bedford Hills, NY 10507-1800
Phone
(914) 241-1072
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NYS020573 NY Primary

Addresses

Primary practice location

66 Main St
Bedford Hills, NY 10507-1800

Mailing address

PO Box 676
Goldens Bridge, NY 10526-0676
Phone (914) 241-1072

Other identifiers 1

IdentifierTypeStateIssuer
0065395OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000740 NY Practitioner - Clinical Social Worker 4486841970 Practice locations: Goldens Bridge, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13 Hillside Ave
Goldens Bridge, NY 10526-1123
Phone (914) 241-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NYS020573NYMDMental Health Counselor
020573NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Evaluations & Consulting Past Accepting new patients
Psychological Evaluations and Consulting, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184772295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "GOLDENS BRIDGE",
            "state": "NY",
            "postal_code": "105260676",
            "telephone_number": "914-241-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071800",
            "telephone_number": "914-241-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSVALLY",
        "first_name": "JENNIFER",
        "middle_name": "SAUL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "NYS020573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0065395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.