Marilyn Tucker Rosenberg, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10673 Issued in MA

Practice address

9 Pine Ridge Rd
Wellesley, MA 02481-1622

Phone

(781) 820-4832

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1801145651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811622",
            "telephone_number": "781-820-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811622",
            "telephone_number": "781-820-4832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019704815",
            "country_code": "US",
            "telephone_number": "978-744-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARILYN",
        "middle_name": "TUCKER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Rosales
• Stephen M. Rose, PH.D.
• Eric Jon Roseen, D.C.
• Erin Rosen, D.C.
• Martin G. Rosen, D.C.
• Daniel W Rosenn, M.D.
• Jolene Ross, PH.D.
• Lawrence Ross, RPT
• Tracey Ross
• Jennifer M. Rossetti, M.DIV, M.A.

• Clinical Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.