Active NPI
Rebecca Rouse, PSYD
- Psychologist
- Dover, NH
National Provider Identifier
1659736494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1350
- Practice address
- 180 Locust St
Dover, NH 03820-4033 - Phone
- (603) 742-1373
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1350 | NH | Primary |
Addresses
Primary practice location
180 Locust St
Dover, NH 03820-4033
Mailing address
90 Washington St
Suite 215a-B
Dover, NH 03820
Phone (814) 327-4354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103062 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224000092 | NH | Practitioner - Clinical Psychologist | 3678878014 | Practice locations: Dover, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
90 Washington St
Suite 210
Dover, NH 03820-3760
Phone (814) 327-4354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1659736494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 WASHINGTON ST",
"address_2": "SUITE 215A-B",
"city": "DOVER",
"state": "NH",
"postal_code": "03820",
"telephone_number": "814-327-4354",
"fax_number": "603-590-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 LOCUST ST",
"city": "DOVER",
"state": "NH",
"postal_code": "038204033",
"telephone_number": "603-742-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "REBECCA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "1350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103062",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.