Active NPI
Elisa B. Rosner, PSY.D.
- Clinical Psychologist
- Stamford, CT
National Provider Identifier
1477739381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001912
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011616-1 | NY | MD | Clinical Psychologist |
| 1912 | CT | MD | Registered Dietitian |
| 001912 | CT | MD | Occupational Therapy Assistant |
| 011616 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley Rosner & Blanche a. Rosner LLC | Current | 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.
-
dba Counseling & Psychotherapy Group
- Psychologist
- Stamford, CT
- NPI 1477622579
-
- Clinical Psychologist
- Stamford, CT
- NPI 1215054176
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.