Rose M Psara, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2019025836 Issued in MO

Practice address

11116 S Towne SQ
Saint Louis, MO 63123-7850

Phone

(314) 567-1958

Fax

(314) 567-0037

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rose M Green Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gateway Psychiatric Group LLCGroup PAC ID 5991944829, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateway Psychiatric Group, LLC

  • Prescribing (Medical) Psychologist
  • Creve Coeur, MO
  • NPI 1902244825
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1881246833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 S TOWNE SQ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237850",
            "telephone_number": "314-567-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11116 S TOWNE SQ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237850",
            "telephone_number": "314-567-1958",
            "fax_number": "314-567-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSARA",
        "first_name": "ROSE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019025836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.patientfusion.com/",
            "affiliation": "N",
            "endpointDescription": "Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "11116 S Towne Sq",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631237850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "GREEN",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "APRN, PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christin K Pryor, PHD,LPC, LMFT
• David Bram Pryor, M.D.
• Linda Ann Pryor, LPC
• Tyler Pryor, DMD
• Holly Przygoda, PHARMD
• Haley Gender Pschirrer
• Psych Care Consultants LLC
• Psych Health LLC
• Psychiatric Center of Creve Coeur,LTD.
• Psychiatric Consultants L.T.D.

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.