Active NPI
Alex Rosenstein, PSY.D.
- Clinical Psychologist
- Wellesley Hills, MA
National Provider Identifier
1619254778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9425
- Practice address
- 11 Chapel PL
Wellesley Hills, MA 02481-3130 - Phone
- (617) 201-8583
- NPI assigned
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 9425 | MA | |
| Clinical Psychologist | 103TC0700X | 9425 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 9425 | MA |
Addresses
Primary practice location
11 Chapel PL
Wellesley Hills, MA 02481-3130
Mailing address
11 Chapel PL
Wellesley Hills, MA 02481-3130
Phone (781) 591-2085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9425 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1619254778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CHAPEL PL",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024813130",
"telephone_number": "781-591-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CHAPEL PL",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024813130",
"telephone_number": "617-201-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTEIN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "9425",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9425",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "9425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.