Active NPI
Neil J. Rosen, PSY.D.
- Psychoanalysis Psychologist
- Boulder, CO
National Provider Identifier
1841452760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 1408
- Practice address
- 2299 Pearl St Ste 107
Boulder, CO 80302-4669 - Phone
- (303) 494-1116
- Fax
- (303) 494-8795
- NPI assigned
- Jul 1, 2008
- Last updated
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 1408 | CO | Primary |
Addresses
Primary practice location
2299 Pearl St Ste 107
Boulder, CO 80302-4669
Mailing address
2299 Pearl St Ste 107
Boulder, CO 80302-4669
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Mar 16, 2016 through Mar 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1408 | CO | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1841452760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 PEARL ST STE 107",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 PEARL ST STE 107",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024669",
"telephone_number": "303-494-1116",
"fax_number": "303-494-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "NEIL",
"middle_name": "J.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CO",
"license": "1408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.