Individual provider Active NPI

John William Rosado Jr., PSY.D.

  • Clinical Psychologist
  • Freehold, NJ
National Provider Identifier
1992951776
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100206300 Issued in NJ
Practice address
149 W Main St
Freehold, NJ 07728-2051
Phone
(732) 780-9898
Fax
(732) 780-6447
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100206300 NJ Primary

Addresses

Primary practice location

149 W Main St
Freehold, NJ 07728-2051

Mailing address

149 W Main St
Freehold, NJ 07728-2051
Phone (732) 780-9898

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101022000155 NJ Practitioner - Clinical Psychologist 7416140470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Mounts Corner Dr
Suite 228
Freehold, NJ 07728-2558
Phone (732) 780-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35S100206300NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr J Rosado Psychologist, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

330 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 780-9898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1992951776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282051",
            "telephone_number": "732-780-9898",
            "fax_number": "732-780-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282051",
            "telephone_number": "732-780-9898",
            "fax_number": "732-780-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100206300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.