Active NPI
Jillian Rosati, PSY.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1245668789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301018848
- Practice address
- 321 S Main St Ste 214
Ann Arbor, MI 48104-2126 - Phone
- (248) 977-0524
- NPI assigned
- Oct 18, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00603500 | NJ | |
| Clinical Psychologist | 103TC0700X | 022859-1 | NY | |
| Clinical Psychologist | 103TC0700X | 6301018848 | MI | Primary |
Addresses
Primary practice location
321 S Main St Ste 214
Ann Arbor, MI 48104-2126
Mailing address
321 S Main St Ste 214
Ann Arbor, MI 48104-2126
Phone (248) 977-0524
Other practice location 1
210 6th Avenue
Suite 1A
New York, NY 10014-4904
Phone (888) 343-6031
Other practice location 2
3700 W Kilgore Ave
Muncie, IN 47304-4810
Phone (765) 289-5437
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 |
|---|---|---|---|
| 6301018848 | MI | MD | Clinical Psychologist |
| 35SI00603500 | NJ | MD | Clinical Psychologist |
| 022859-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jonathan Kaplan, Psychologist, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba SoHo CBT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1093594715
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1245668789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S MAIN ST STE 214",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042126",
"telephone_number": "248-977-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S MAIN ST STE 214",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042126",
"telephone_number": "248-977-0524"
}
],
"practiceLocations": [
{
"address_1": "210 6th Avenue",
"address_2": "Suite 1A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100144904",
"country_code": "US",
"telephone_number": "888-343-6031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 W Kilgore Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473044810",
"country_code": "US",
"telephone_number": "765-289-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSATI",
"first_name": "JILLIAN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00603500",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022859-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301018848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.