Gavin Elliot Rose, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME97253 Issued in FL

Practice address

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723

Phone

(888) 852-6672

Fax

(561) 752-9490

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Maryland School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grose342105@mhsdirect.net

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.

• Psychiatric Specialty Center LLC

  • Psychiatry Physician
  • Wellington, FL
  • NPI 1841678141
  Medicare reassignment Care Compare group NPD
• Ruth & Norman Rales Jewish Family Services Inc

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1063476976

  Psychiatry

  Medicare reassignment NPD
• Toby and Leon Cooperman Therapy and Family Resource Center

  • Occupational Therapist
  • Boca Raton, FL
  • NPI 1982352092
  NPD
• Bayview Center for Mental Health Inc

  • Community/Behavioral Health Agency
  • North Miami Beach, FL
  • NPI 1912123456
  NPD (past)
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1508199381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615834",
            "telephone_number": "888-852-6672",
            "fax_number": "877-720-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "888-852-6672",
            "fax_number": "561-752-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GAVIN",
        "middle_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME97253",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME97253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Averjill Rookwood
• Steven Rooney, M.D.
• Roots to Recovery, LLC
• Melissa Roque, DPT
• Sally Roscher
• Michael Jay Roseff, D.M.D.
• Joyce S Rosen, M.A., CCC-SLP
• Lisa Rosen
• Ryan Rosen, MD
• David Rosenberg, M.D.

• Psychiatry Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.

Verify at the official NPI Registry.