Susan G Rosenzweig, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1222 Issued in OR

Practice address

2476 NW Northrup St
# 2B
Portland, OR 97210-3133

Phone

(503) 206-8337

Fax

(503) 206-8032

NPI assigned

Sep 25, 2006

Last updated

Dec 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1629179635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 NW NORTHRUP ST",
            "address_2": "# 2B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103133",
            "telephone_number": "503-206-8337",
            "fax_number": "503-528-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 NW NORTHRUP ST",
            "address_2": "# 2B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103133",
            "telephone_number": "503-206-8337",
            "fax_number": "503-206-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "SUSAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Rosenthal
• Jillian K Rosenthal, ANP
• John David Rosenthal, DMD
• Susan A Rosenthall
• Kent David Rosenwald, M.D.
• Christopher Jordan Rosero, LMT
• Roses Thorn Electrology Group LLC (Roses Thorn Electrology Group)
• Hazel Siojo Rosete, PSY.D.
• Kylee Ann Rosette Cameron, PA-C
• Jane Rosevelt

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.