Lauren Rosso, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

18-18P Issued in AR

Practice address

19 E Mountain St Ste 5
Fayetteville, AR 72701-6067

Phone

(479) 308-8530

NPI assigned

Aug 12, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Lauren Rosso, PLLC

  • Adult Mental Health Clinic/Center
  • Fayetteville, AR
  • NPI 1639775760
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1639725161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N OAK DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011618",
            "telephone_number": "479-601-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MOUNTAIN ST STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016067",
            "telephone_number": "479-308-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "18-18P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton A Ross, D.M.D.
• Mitchell David Ross, MD
• Thomas Trigg Ross, PT
• William Landon Ross, PA-C
• Kristin Rossi, M.A., CCC-SLP
• Katherine Avery Rotenberry
• Kenneth Lee Routon, MHPP
• Juliet H Roux
• Shannon Rowan
• Natalie C Rowe, DPT

• Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.