Individual provider Active NPI

Steven Raun Rosen, D.O.

  • Child & Adolescent Psychiatry Physician
  • Greenville, OH
National Provider Identifier
1376665299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34006092 Issued in OH
Practice address
212 E Main St
Greenville, OH 45331-1913
Phone
(937) 548-1635
Fax
(937) 548-1500
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 34006092 OH Primary

Addresses

Primary practice location

212 E Main St
Greenville, OH 45331-1913

Mailing address

212 E Main St
Greenville, OH 45331-1913
Phone (937) 548-1635

Other identifiers 1

IdentifierTypeStateIssuer
0119259MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170127002265 OH Practitioner - Psychiatry 1355623273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York College of Osteo Medicine of New York Institute of Technology, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Cincinnati Behavioral Health ServicesGroup PAC ID 3870498355, 38 clinicians

Practice addresses (Care Compare)

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006092OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Behavioral Health Services CurrentSince Mar 3, 2025 Accepting new patients
Greater Cincinnati Behavioral Health Services Current Accepting new patients
Community Mental Health Centers of Warren County, Inc CurrentSince Nov 19, 2016 Accepting new patients
Darke County Recovery Services PastSince Jan 4, 2014 Accepting new patients
Greater Cincinnati Behavioral Health Services Past Accepting new patients
Darke County Mental Health Clinic, Inc Past Accepting new patients
Community Mental Heatlh Centers of Warren County, Inc. PastSince Nov 19, 2016 Accepting new patients

Locations

107 Oregonia Rd
Fl 2
Lebanon, OH 45036
Phone (513) 695-2411

975 Kingsview Dr
#B
Lebanon, OH 45036

50 Greenwood Ln
Springboro, OH 45066
Phone (937) 746-1154

1501 Madison Rd
Walnut Hills, OH 45206
Phone (513) 354-7000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/

Organizations & group practices 7

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376665299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "STEVEN",
        "middle_name": "RAUN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34006092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.