Individual provider Active NPI

Alyssa Michelle Rosen, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1336285261
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G202216 Issued in CA
Practice address
2635 Zanker Rd
San Jose, CA 95134-2107
Phone
(408) 292-9353
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G202216 CA Primary
Internal Medicine Physician 207R00000X 033886 GA
Psychiatry Physician 2084P0800X 179918 NY
Psychiatry Physician 2084P0800X 033886 GA
Psychiatry Physician 2084P0800X ME143647 FL
Internal Medicine Physician 207R00000X 179918-1 NY

Addresses

Primary practice location

2635 Zanker Rd
San Jose, CA 95134-2107

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

120 Santa Margarita Ave Bldg B
Menlo Park, CA 94025-2725
Phone (404) 850-6069

Other practice location 2

3280 Peachtree Rd NE Fl 7
Atlanta, GA 30305-2430
Phone (631) 559-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160329001838 GA Practitioner - PsychiatryPractitioner - Internal Medicine 4385730183 Practice locations: Roswell, GA
I20260529001564 FL Practitioner - Psychiatry 4385730183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

2400 E Commercial Blvd
Suite 101
Fort Lauderdale, FL 33308-4022
Phone (754) 243-5650

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179918-1NYMDInternal Medicine Physician
ME143647FLMDPsychiatry Physician
033886GAMDPsychiatry Physician
179918NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Psychiatry & Sleep Psychiatry CurrentSince Jun 23, 2025 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Jun 8, 2026 Accepting new patients
Stony Brook Psychiatric Associates, University Faculty Practice Corpor Psychiatry PastSince Jul 23, 2015 Accepting new patients
Peak Vista Community Health Centers PastSince Jun 8, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2400 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (754) 243-5650

1012 Coggins Pl NE
Marietta, GA 30060
Phone (770) 422-2009

11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1336285261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 ZANKER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342107",
            "telephone_number": "408-292-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Santa Margarita Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940252725",
            "country_code": "US",
            "telephone_number": "404-850-6069",
            "fax_number": "404-850-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Peachtree Rd NE Fl 7",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052430",
            "country_code": "US",
            "telephone_number": "631-559-5676",
            "fax_number": "404-850-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G202216",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033886",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "179918",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "033886",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME143647",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179918-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.