Individual provider Active NPI

Elisa B. Rosner, PSY.D.

  • Clinical Psychologist
  • Stamford, CT
National Provider Identifier
1477739381
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001912 Issued in CT
Practice address
415 Sawmill Rd
Stamford, CT 06903-3508
Phone
(917) 312-9886
Fax
(203) 329-0554
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001912 CT Primary
Clinical Psychologist 103TC0700X 011616-1 NY

Addresses

Primary practice location

415 Sawmill Rd
Stamford, CT 06903-3508

Mailing address

415 Sawmill Rd
Stamford, CT 06903-3508
Phone (917) 312-9886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000451 CT Practitioner - Clinical Psychologist 6204885148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 Saw Mill Rd
Stamford, CT 06903-3508

415 Sawmill Rd
Stamford, CT 06903-3508
Phone (203) 329-1578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011616-1NYMDClinical Psychologist
1912CTMDRegistered Dietitian
001912CTMDOccupational Therapy Assistant
011616NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley Rosner & Blanche a. Rosner LLC CurrentSince Dec 29, 2014 Accepting new patients
Stanley and Blanche Rosner LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1477739381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SAWMILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033508",
            "telephone_number": "917-312-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SAWMILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033508",
            "telephone_number": "917-312-9886",
            "fax_number": "203-329-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "ELISA",
        "middle_name": "B.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001912",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011616-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.