Active NPI
Deanna Lee Rosen, LCSW
- Psychologist
- Salt Lake City, UT
National Provider Identifier
1235233883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 16701
- Practice address
- 970 E Murray Holladay Blvd
Ste 2E
Salt Lake City, UT 84117 - Phone
- (801) 288-1062
- Fax
- (801) 288-1063
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 263950-3501 | UT | |
| Psychologist | 103T00000X | 16701 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 263950-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 16701 | TX |
Addresses
Primary practice location
970 E Murray Holladay Blvd
Ste 2E
Salt Lake City, UT 84117
Mailing address
970 E Murray Holladay Blvd
Ste 2E
Salt Lake City, UT 84117
Phone (801) 288-1062
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 |
|---|---|---|---|
| 16701 | TX | MD | Clinical Social Worker |
| 263950-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1235233883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E MURRAY HOLLADAY BLVD",
"address_2": "STE 2E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-288-1062",
"fax_number": "801-288-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 E MURRAY HOLLADAY BLVD",
"address_2": "STE 2E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-288-1062",
"fax_number": "801-288-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "DEANNA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "263950-3501",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "16701",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "263950-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.