Individual provider Active NPI

Jillian Rosati, PSY.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1245668789
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018848 Issued in MI
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

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6301018848MIMDClinical Psychologist
35SI00603500NJMDClinical Psychologist
022859-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jonathan Kaplan, Psychologist, P.C. Clinical PastSince Sep 24, 2023 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.

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.

Verify at the official NPI Registry.