NPIMap

Organization Active NPI

Sharon Rose-Rego, PH.D., LLC

  • Clinical Psychologist
  • Highland Heights, OH
National Provider Identifier
1972987774
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5879 Issued in OH
Legal business name
SHARON ROSE-REGO, PH.D., LLC
Practice address
6151 Wilson Mills Rd
Suite 200
Highland Heights, OH 44143-2153
Phone
(440) 781-9609
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Sharon Rose-Rego, PH.D.NPI 1346328788
Title
Owner/Psychologist
Phone
(440) 781-9609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5879 OH Primary

Addresses

Primary practice location

6151 Wilson Mills Rd
Suite 200
Highland Heights, OH 44143-2153

Mailing address

6151 Wilson Mills Rd
Suite 200
Highland Heights, OH 44143-2153
Phone (440) 781-9609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150722006505 OH Part B Supplier - Clinic/Group Practice 1052624855 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Heights, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1972987774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 WILSON MILLS RD",
            "address_2": "SUITE 200",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432153",
            "telephone_number": "440-781-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 WILSON MILLS RD",
            "address_2": "SUITE 200",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441432153",
            "telephone_number": "440-781-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON ROSE-REGO, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "ROSE-REGO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-781-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.