Rose Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROSE PSYCHIATRY

Practice address

3755 S Rome St
Gilbert, AZ 85297-7361

Phone

(480) 631-9589

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Khalid Salim Khan, MDNPI 1821452418

Title

Owner

Phone

(480) 510-8019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid Salim Khan

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1821452418
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1396407268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S HIGLEY RD STE 103-183",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977361",
            "telephone_number": "480-631-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "SALIM KHAN",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-510-8019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Root
• Ken Ernest Root Jr., D.O.
• Matthew Gary Roper, DMD
• Beverly Ann Rosales, MSN, CNOR, RNFA, FNP
• Rose and Lily Health, LLC
• Lauren Rose, DO
• Sadie Ruth Rose, EPC
• Alyssa F Roseborough
• Megan Renee Rosen
• Katherine Eva Rosler

• Psychiatry Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.