Rowan Integrated Special Needs BH

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ROWAN INTEGRATED SPECIAL NEEDS BH

Practice address

550 Salina Rd
Sewell, NJ 08080-4111

Phone

(856) 566-6034

Fax

(856) 566-6208

NPI assigned

May 31, 2018

Organization subpart

Yes

Parent organization

ROWAN UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Keliyvette Workman

Title

Director of Managed Care & Contract

Phone

(856) 566-6831

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rowan Integrated Special Needs BH2 organizations share this tax ID, including this one

Part of

Rowansom

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rowan Integrated Special Needs BH

  • Clinical Psychologist
  • Sewell, NJ
  • NPI 1225594286
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rowan University

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1306227368
  NPPES parent name

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1669964185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71356",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SALINA RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804111",
            "telephone_number": "856-566-6034",
            "fax_number": "856-566-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN INTEGRATED SPECIAL NEEDS BH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROWAN UNIVERSITY",
        "enumeration_date": "2018-05-31",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KELIYVETTE",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE & CONTRACT",
        "authorized_official_telephone_number": "856-566-6831"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491829",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ian Rotkowitz, M.D.
• Rowan College at Gloucester County
• Rowan College at Gloucester County
• Rowan Integrated Special Needs
• Rowan Integrated Special Needs BH
• Rowan Integrated Special Needs BH
• Rowansom Dept of Maternal-Fetal Medicine
• Rowansom Dept of Pediatrics
• Royal Medical Supply LLC
• Thomas I Rozanski, MD

• Psychologist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.