NPIMap

Organization Active NPI

Adam R Rosen, MD, PS

  • Psychiatry Physician
  • Kirkland, WA
National Provider Identifier
1659568541
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00045482 Issued in WA
Legal business name
ADAM R ROSEN, MD, PS
Practice address
620 Kirkland Way
200
Kirkland, WA 98033-6021
Phone
(425) 889-5045
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Adam Rosen, MD
Title
Owner
Phone
(425) 889-5045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD00045482 WA Primary

Addresses

Primary practice location

620 Kirkland Way
200
Kirkland, WA 98033-6021

Mailing address

620 Kirkland Way
200
Kirkland, WA 98033-6021
Phone (425) 889-5045

National Provider Directory

National Provider Directory

Locations

620 Kirkland Way
Ste 200
Kirkland, WA 98033
Phone (425) 825-7917

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1659568541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 KIRKLAND WAY",
            "address_2": "200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336021",
            "telephone_number": "425-889-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KIRKLAND WAY",
            "address_2": "200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336021",
            "telephone_number": "425-889-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM R ROSEN, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-889-5045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00045482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.