Jeffery C Rose, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY12142 Issued in CA

Practice address

636 Rio Lindo Ave
Chico, CA 95926-1818

Phone

(530) 895-7777

Fax

(530) 893-8245

NPI assigned

Jun 27, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609872423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236A W EAST AVE",
            "address_2": "# 123",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267215",
            "telephone_number": "530-895-7777",
            "fax_number": "530-893-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RIO LINDO AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261818",
            "telephone_number": "530-895-7777",
            "fax_number": "530-893-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JEFFERY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY12142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Wilson, D.D.S. Inc.
• Ronald W. Smith (Chico Recovery Center)
• Debra Rooney
• Erik H Roos, DDS
• Karla Rosa
• Karen Ann Rose, M.S., M.F.T.
• Karen M. Rose
• Katie Rose
• Wendy Marie Rose, RN
• Amy Coriene Roseman

• Clinical Neuropsychologist in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.