Active NPI
Susan Renea Rosenberger, PH.D.
- Clinical Psychologist
- Murray, KY
National Provider Identifier
1851517544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2006-101
- Practice address
- 212 Wells Hall
Murray State University
Murray, KY 42071-3318 - Phone
- (270) 809-2504
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2006-101 | KY | Primary |
Addresses
Primary practice location
212 Wells Hall
Murray State University
Murray, KY 42071-3318
Mailing address
1323 Main St
Apt. B
Murray, KY 42071-1822
Phone (270) 761-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-101 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851517544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 MAIN ST",
"address_2": "APT. B",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711822",
"telephone_number": "270-761-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WELLS HALL",
"address_2": "MURRAY STATE UNIVERSITY",
"city": "MURRAY",
"state": "KY",
"postal_code": "420713318",
"telephone_number": "270-809-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERGER",
"first_name": "SUSAN",
"middle_name": "RENEA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "2006-101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.