Active NPI
Rachel Rose
- Psychologist
- Cedarhurst, NY
National Provider Identifier
1215674783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 024877
- Practice address
- 650 Central Ave
Cedarhurst, NY 11516-2301 - Phone
- (516) 303-6327
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 024877 | NY | Primary |
Addresses
Primary practice location
650 Central Ave
Cedarhurst, NY 11516-2301
Mailing address
1122 Neilson St
Far Rockaway, NY 11691-4720
Phone (516) 303-6327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024877 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1215674783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 NEILSON ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914720",
"telephone_number": "516-303-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162301",
"telephone_number": "516-303-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "024877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.