Individual provider Active NPI

Adam P Rosen, PHD

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1780741033
Registry record updated Jul 8, 2007
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Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7382 Issued in MA
Practice address
49 Hancock St
Suite 107
Cambridge, MA 02139-3188
Phone
(617) 921-0332
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7382 MA Primary

Addresses

Primary practice location

49 Hancock St
Suite 107
Cambridge, MA 02139-3188

Mailing address

49 Hancock St
Suite 107
Cambridge, MA 02139-3188
Phone (617) 921-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780741033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HANCOCK ST",
            "address_2": "SUITE 107",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393188",
            "telephone_number": "617-921-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HANCOCK ST",
            "address_2": "SUITE 107",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393188",
            "telephone_number": "617-921-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ADAM",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.