Jacob C Rosin, M A LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361002793 Issued in MI

Practice address

409 Plymouth Rd Ste 140
Plymouth, MI 48170-1866

Phone

(248) 514-6887

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rosin Associates PLLC

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1487276887
  NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1275735656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 11 MILE RD APT 20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672746",
            "telephone_number": "248-514-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 140",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701866",
            "telephone_number": "248-514-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIN",
        "first_name": "JACOB",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M A LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361002793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kagen Rose
• Kara Rose
• Kristi Lyn Rose, LMSW
• Candi Lyn Rosenberg, MA, JD
• Rosin Associates PLLC
• Ross J Hock DDS PC
• Payton Roth
• Alicia M Rothert
• Kelly Rowell
• Rowsonara Rowsi

• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.