Individual provider Active NPI

Barry Philip Rosenberg, M.S. ED.

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1871863746
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CONTROL#043084841 Issued in NY
Practice address
3914 15TH Avenue
Jumpstart Early Intervention Program
Brooklyn, NY 11218
Phone
(718) 984-9800
NPI assigned
Jan 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CONTROL#043084841 NY Primary

Addresses

Primary practice location

3914 15TH Avenue
Jumpstart Early Intervention Program
Brooklyn, NY 11218

Mailing address

3914 15TH Avenue
Jumpstart Early Intervention Program
Brooklyn, NY 11218

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
Master of Science

State licenses

LicenseStateTypeSpecialty
CONTROL#043084841NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1871863746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 15TH AVENUE",
            "address_2": "JUMPSTART EARLY INTERVENTION PROGRAM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 15TH AVENUE",
            "address_2": "JUMPSTART EARLY INTERVENTION PROGRAM",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-984-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BARRY",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "CONTROL#043084841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.