Christopher Maxwell Rose, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7295 Issued in MA

Practice address

90 Conz St
Northampton, MA 01060-3881

Phone

(413) 320-1595

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Advanced Behavioral Health Group, Ma P.C.

  • Mental Health Counselor
  • South Hadley, MA
  • NPI 1437266871
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1992733430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CONZ ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603881",
            "telephone_number": "413-320-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONZ ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603881",
            "telephone_number": "413-320-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Romm
• Roots & Respite
• Meagan Joyce Roraback
• Lauren Rosa, PA-C
• Darlene A Rose-Wardlaw, MA/CAGS
• Tiffanny Roberta Rose, FNP-C
• Deliah Rosel, LMT
• Danielle Rosen
• Joel Elliot Rosen, M.D.
• Henry W. Rosenberg, MD

• Clinical Psychologist in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.