Active NPI
Barry Philip Rosenberg, M.S. ED.
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1871863746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CONTROL#043084841
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CONTROL#043084841 | NY | MD | Mental 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.