Individual provider Active NPI

Jeffrey Michael Rossman, PH.D.

  • Psychologist
  • West Stockbridge, MA
National Provider Identifier
1487821203
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4014 Issued in MA
Practice address
247 East Rd
West Stockbridge, MA 01266-9730
Phone
(413) 528-2146
NPI assigned
May 12, 2008
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4014 MA Primary

Addresses

Primary practice location

247 East Rd
West Stockbridge, MA 01266-9730

Mailing address

247 East Rd
West Stockbridge, MA 01266-9730
Phone (413) 528-2146

Other practice location 1

140 West Ave Ste B
Great Barrington, MA 01230-1852
Phone (413) 717-0457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2019 through Feb 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4014MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1487821203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 EAST RD",
            "city": "WEST STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012669730",
            "telephone_number": "413-528-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 EAST RD",
            "city": "WEST STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012669730",
            "telephone_number": "413-528-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 West Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Great Barrington",
            "state": "MA",
            "postal_code": "012301852",
            "country_code": "US",
            "telephone_number": "413-717-0457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Stockbridge, MA

Sources for this page

Verify at the official NPI Registry.