Robert M. Rossen, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

013746-1 Issued in NY

Practice address

25517 Northern Blvd
Suite B2
Little Neck, NY 11362-1453

Phone

(718) 801-7180

Fax

(516) 467-4460

NPI assigned

Feb 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366583494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25519 W END DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201049",
            "telephone_number": "718-801-7180",
            "fax_number": "516-467-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25517 NORTHERN BLVD",
            "address_2": "SUITE B2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621453",
            "telephone_number": "718-801-7180",
            "fax_number": "516-467-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSEN",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "013746-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Rodriguez, MSED
• Rita Rokkos
• Ronald C Fagan MD PC
• Root Salve, LCSW, PLLC
• Brianne Rosenstock, CCC-SLP
• Pamela Rubin, LMSW
• Jaclyn Danoff Rudick, D.M.D.
• Carl James Russo Jr., DC STUDENT
• Sylvia Rutkowski, DDS
• George Samaras, PHARMD

• Clinical Child & Adolescent Psychologist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• 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.

Verify at the official NPI Registry.