Michael J Rosen MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33886 Issued in GA

Legal business name

MICHAEL J ROSEN MD PLLC

Practice address

800 Old Roswell Lakes Pkwy Ste 250
Roswell, GA 30076-8614

Phone

(404) 450-0338

Fax

(631) 824-9162

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Michael J Rosen, MD

Title

Ceo

Phone

(404) 450-0338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1780176891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768614",
            "telephone_number": "404-450-0338",
            "fax_number": "631-824-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768614",
            "telephone_number": "404-450-0338",
            "fax_number": "631-824-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J ROSEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-450-0338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "33886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.