Elizabeth a. Rose PHD, Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011940 Issued in MI

Legal business name

ELIZABETH A. ROSE PHD, PSYCHOLOGICAL SERVICES, P.C.

Practice address

12765 S. Saginaw Street
Suite 301
Grand Blanc, MI 48439-2449

Phone

(810) 695-1900

Fax

(810) 695-1907

NPI assigned

May 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Rose, PH.DNPI 1538271754

Title

Clinical Psychologist

Phone

(810) 964-5901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Rose, LLP

  • Psychologist
  • Grand Blanc, MI
  • NPI 1538271754
  Medicare reassignment Authorized official
• Kimberly Abraham, LMSW

  • Social Worker
  • Grand Blanc, MI
  • NPI 1770695710
  Medicare reassignment

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1760775944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 COLCHESTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034631",
            "telephone_number": "810-964-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12765 S. SAGINAW STREET",
            "address_2": "SUITE 301",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392449",
            "telephone_number": "810-695-1900",
            "fax_number": "810-695-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A. ROSE PHD, PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "810-964-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ephriam Ekpo, DO
• Malak N El-Saghir, BEHAVIORAL TECH
• Saly Elias
• Elite EMS LLC
• Elite Provider Group PC
• Kaylee S Elkins
• Kelley Elkins
• Manikandan Ellangovin, MPT
• Katherine Renee Elswick, CMT, CRMT, CBWT
• Emergency Medicine Physicians of Genesee County, PLLC

• Clinical Psychologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.