Jennifer T. Rosenberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35057983 Issued in OH

Practice address

3927 W Ash LN
Beachwood, OH 44122-4778

Phone

(216) 839-3104

Fax

(216) 839-3123

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1184872087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 W ASH LN",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224778",
            "telephone_number": "216-839-3104",
            "fax_number": "216-839-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 W ASH LN",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224778",
            "telephone_number": "216-839-3104",
            "fax_number": "216-839-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JENNIFER",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35057983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rork Child Psychology, LLC
• Laura Jill Rose, MSN APRN ANP-C
• Jeffery D Rosenbaum, PH.D.
• David M Rosenberg, MD
• Fredrick A Rosenberg, D.D.S.
• Barrie K Rosencrans, MS, RD, LD
• Alan H Rosenthal, M.D.
• Tammy Jodi Rosenthal, D.D.S.
• Sherri Rosichan
• Deborah L. Ross, PH.D.

• Psychiatry Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.