DR. JOEL ROSENBAUM PH.D. NPI 1821025800

NPI Information

NPI: 1821025800
Provider Name: DR. JOEL ROSENBAUM, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
114 WHITWELL ST
QUINCY MEDICAL CENTER, SUITE B618
QUINCY, MA
ZIP 02169
Phone: (617) 376-2095
Get Directions

DR. Joel Rosenbaum, PH.D. is a clinical neuropsychologist in Quincy, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Joel Rosenbaum, PH.D. NPI is 1821025800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 WHITWELL ST
QUINCY MEDICAL CENTER, SUITE B618
QUINCY, MA
ZIP 02169-870
Phone: (617) 376-2095
Fax: (617) 376-5413

The NPI 1821025800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		05087	MASSACHUSETTS	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	05087	MASSACHUSETTS	X
3	103TC0700X	Psychologist	Clinical	05087	MASSACHUSETTS	X
4	103T00000X	Psychologist		05087	MASSACHUSETTS	X
5	103TR0400X	Psychologist	Rehabilitation	05087	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W05943	OTHER	MASSACHUSETTS	BLUE CROSS/BLUE SHIELD ID
2	403324	OTHER	MASSACHUSETTS	TUFTS PROVIDER ID
3	W50336	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE PROVIDER ID
4	0526894	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »