Active NPI
Loretta Lynn Rozdoske, LLP
- Clinical Psychologist
- Adrian, MI
National Provider Identifier
1407086895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012191
- Practice address
- 220 N Main St
Adrian, MI 49221-2749 - Phone
- (517) 265-5352
- Fax
- (517) 263-6090
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012191 | MI | Primary |
Addresses
Primary practice location
220 N Main St
Adrian, MI 49221-2749
Mailing address
220 N Main St
Adrian, MI 49221-2749
Phone (517) 265-5352
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012191 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling and Children'S Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Adrian, MI
- NPI 1508990649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1407086895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MAIN ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212749",
"telephone_number": "517-265-5352",
"fax_number": "517-263-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N MAIN ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212749",
"telephone_number": "517-265-5352",
"fax_number": "517-263-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZDOSKE",
"first_name": "LORETTA",
"middle_name": "LYNN",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.