Organization Active NPI

Roseman Medical Research Institute

  • Addiction (Substance Use Disorder) Counselor
  • Carson City, NV
National Provider Identifier
1245066968
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ROSEMAN MEDICAL RESEARCH INSTITUTE
Practice address
1460 S Curry St
Carson City, NV 89703-5100
Phone
(833) 481-7681
NPI assigned
Sep 10, 2024
Organization subpart
Yes
Parent organization
ROSEMAN MEDICAL RESEARCH INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Kristina Lee Connolly
Title
Dean, Finance and Operations
Phone
(702) 802-2878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1460 S Curry St
Carson City, NV 89703-5100

Mailing address

1460 S Curry St
Carson City, NV 89703-5100

Other names 1

  • Roseman Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roseman Medical Research3 organizations share this tax ID, including this one
Part of
Roseman Medical Research

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1245066968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035100",
            "telephone_number": "833-481-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMAN MEDICAL RESEARCH INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEMAN MEDICAL RESEARCH INSTITUTE",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DEAN, FINANCE AND OPERATIONS",
        "authorized_official_telephone_number": "702-802-2878"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseman Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.