Individual provider Active NPI

Esther Gabrielle Rosengarten, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1275810665
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20170823NP-PP Issued in OR
Practice address
7766 SW Bayberry Dr
Beaverton, OR 97007-5551
Phone
(971) 357-2275
Fax
(971) 369-7509
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 201708238RN OR
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 20170823NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20170823NP-PP OR Primary

Addresses

Primary practice location

7766 SW Bayberry Dr
Beaverton, OR 97007-5551

Mailing address

7766 SW Bayberry Dr
Beaverton, OR 97007-5551
Phone (971) 357-2275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201708238RNORMDPsychiatric/Mental Health Registered Nurse
20170823NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
20170823NPORMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Interventions for Neuroplastic Development Hub. LLC Psychiatric/Mental Health CurrentSince May 21, 2023 Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients
Bridgewell, Inc PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 3

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1275810665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 SW BAYBERRY DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075551",
            "telephone_number": "971-357-2275",
            "fax_number": "971-369-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 SW BAYBERRY DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075551",
            "telephone_number": "971-357-2275",
            "fax_number": "971-369-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGARTEN",
        "first_name": "ESTHER",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201708238RN",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OR",
            "license": "20170823NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "20170823NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.