Active NPI
Bart Rossi, PH.D
- Psychologist
- Somerville, NJ
National Provider Identifier
1326261983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100117000
- Practice address
- 62 E Main St
Somerville, NJ 08876-2312 - Phone
- (908) 725-8880
- Fax
- (908) 725-5656
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100117000 | NJ | Primary |
Addresses
Primary practice location
62 E Main St
Somerville, NJ 08876-2312
Mailing address
106 Patriot Hill Dr
Basking Ridge, NJ 07920-4216
Phone (908) 625-0303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3854701 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100117000 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soap Mat, LLC | Past | Accepting new patients | |
| Vericare Behavioral Health of New Jersey, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1811719438
-
- Clinical Psychologist
- San Diego, CA
- NPI 1669408274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326261983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PATRIOT HILL DR",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079204216",
"telephone_number": "908-625-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 E MAIN ST",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762312",
"telephone_number": "908-725-8880",
"fax_number": "908-725-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "BART",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100117000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3854701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.