Jennifer Rene Rossi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1602 Issued in OR

Practice address

1932 Pine St
Florence, OR 97439-4705

Phone

(541) 662-0527

Fax

(855) 942-5721

NPI assigned

Jun 21, 2006

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

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.

• Jennifer Rossi PHD PC

  • Clinical Psychologist
  • Reedsport, OR
  • NPI 1053593301
  NPD Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1841236544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974670734",
            "telephone_number": "541-662-0527",
            "fax_number": "541-271-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 PINE ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974394705",
            "telephone_number": "541-662-0527",
            "fax_number": "855-942-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JENNIFER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regency Florence LLC
• James Wayne Ridley, DDS
• Stephen Kent Riffenburgh, M.D.
• Lynn Anne Roberts, LCSW
• Kathleen L Rodosevich, CRNA
• Mildred Helen Rowley, MD
• Richard Lee Ruddell Jr., MA, LPC
• Robert Scott Ryves
• Mohamad A Sabbah, M.D
• Safeway Inc (Safeway Pharmacy #0363)

• Clinical Psychologist in Florence, OR
• Providers in Florence, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.