Individual provider Active NPI

Rachel Mann-Rosan, PH.D.

  • Clinical Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1720224330
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016353 Issued in NY
Practice address
15 Maple Dell
Suite 3
Saratoga Springs, NY 12866-2951
Phone
(518) 926-0037
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016353 NY Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 016353 NY

Addresses

Primary practice location

15 Maple Dell
Suite 3
Saratoga Springs, NY 12866-2951

Mailing address

461 Grand Ave
Saratoga Springs, NY 12866-6109
Phone (518) 926-0037

Other identifiers 1

IdentifierTypeStateIssuer
03093749MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016353NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Mann-Rosan, PH.D, Psychological Services, PLLC Clinical CurrentSince Jan 1, 1990 Accepting new patients

Locations

15 Maple Dell
Ste 3
Saratoga Springs, NY 12866
Phone (518) 313-0004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1720224330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 GRAND AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666109",
            "telephone_number": "518-926-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL",
            "address_2": "SUITE 3",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662951",
            "telephone_number": "518-926-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN-ROSAN",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016353",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "016353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03093749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.