Individual provider Active NPI

Karen Rosenberg, PH.D.

  • Psychologist
  • Cranford, NJ
National Provider Identifier
1720371511
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00394800 Issued in NJ
Practice address
1150 Raritan Rd Ste 101
Cranford, NJ 07016-3369
Phone
(908) 276-3888
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00394800 NJ Primary

Addresses

Primary practice location

1150 Raritan Rd Ste 101
Cranford, NJ 07016-3369

Mailing address

1150 Raritan Rd Ste 101
Cranford, NJ 07016-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119002508 NJ Practitioner - Clinical Psychologist 0941582365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Therapy Institute New JerseyGroup PAC ID 8921316605, 12 clinicians

Practice addresses (Care Compare)

206 Claremont Ave
Suite 2
Montclair, NJ 07042-3689
Phone (732) 902-2182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00394800NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey CurrentSince Dec 15, 2016 Accepting new patients

Locations

256 Broad St
Fl 3
Bloomfield, NJ 07003

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

312 Amboy Ave
Ste 2
Metuchen, NJ 08840
Phone (848) 219-2874

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1720371511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RARITAN RD STE 101",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RARITAN RD STE 101",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163369",
            "telephone_number": "908-276-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "KAREN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00394800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.