Stephanie Dianne Rose, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

99072078A Issued in IN

Practice address

1480 Darlington Ave
Crawfordsville, IN 47933-2007

Phone

(765) 362-2852

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R P Therapy LLCGroup PAC ID 4789076373, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R P Therapy LLC

  • Psychologist
  • Fort Wayne, IN
  • NPI 1912667478
  Medicare reassignment Care Compare group NPD
• Valley Oaks Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
  • NPI 1689629990
  Medicare reassignment

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1750743373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331106",
            "telephone_number": "937-532-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 DARLINGTON AVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332007",
            "telephone_number": "765-362-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "99072078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Robbins, RBT
• Haley Adair Roberts Beach, LCMHC, MA
• John R Roberts Jr., MD
• Joseph Kevin Roberts, L.M.F.T.
• Jacy D Robling, D.D.S.
• Rebecca Jo Roy, M.S.W., L.C.S.W.
• Steven K Ruff, DDS
• Teresa Ruiz, MD
• Madelynne Grace Runyon, MSAT, LAT, ATC
• Larry J Russell, DC

• Counseling Psychologist in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.

Verify at the official NPI Registry.