AMY A ROSEN (NPI# 1467622514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467622514 |
| Entity Type | Individual |
| Full Name | AMY A ROSEN |
| Other Name | AMY A FACKLAM |
| Credential | LMHC |
| Practice Address |
1411 Lincolnway W Mishawaka IN 46544-1626 |
| Mailing Address |
Po Box 809 Goshen IN 46527-0809 |
| Practice Telephone | 5745331234 |
| Practice Fax Number | 5745372652 |
| Mailing Telephone | 5745331234 |
| Mailing Fax Number | 5745372652 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39000938A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245476514 | Amy Debra Rosen | Occupational Therapist | 1265 Ocean Pkwy, Brooklyn, NY 11230-5101 | 2008-12-16 |
| 1245475706 | Amy Rosen | Chiropractor | 3200 Panorama Drive, Tahoe City, CA 96145 | 2008-12-11 |
| 1356598437 | Amy L Rosen | Contractor | 153 Halwill Drive, Amherst, NY 14226 | 2008-08-20 |
| 1134296346 | Amy Rosen | Social Worker | 8 Terrapin Lane, Sharon, MA 02067 | 2006-11-30 |
| 1588772628 | Amy Beth Rosen | Chiropractor | 528 Loring Ave, Salem, MA 01970 | 2006-08-28 |
| 1457990517 | Amy Rosen | Pharmacist | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2020-01-06 |
| 1124551783 | Amy Catherine Rosen | Physician Assistant | 75 Francis St, Brigham and Women's Hospital, Department of Neurology, Boston, MA 02115-6110 | 2017-04-10 |
| 1306028972 | Amy Rachel Rosen | Physical Therapist | 2900 N Military Trl, Suite 232, Boca Raton, FL 33431-6365 | 2007-12-05 |
| 1548274574 | Amy Rosen | Specialist | 865 Teaneck Rd, Teaneck, NJ 07666-4513 | 2006-07-27 |
| 1730136177 | Amy Rosen | Psychologist | 64 County Road 39, Southampton, NY 11968-5215 | 2006-05-30 |
| Street Address |
1411 LINCOLNWAY W |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571697 | Rita M Mitcheff | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2005-10-13 |
| 1750980579 | Kaylyn Bussard | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2020-10-22 |
| 1316577711 | Robert Sepulveda | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2020-01-24 |
| 1790329068 | Farah A Ali | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-10-30 |
| 1023676954 | Carolyn Logue | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-06-05 |
| 1861956955 | Zerina Cardaklija | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2019-01-23 |
| 1851869309 | Chelsey Luke | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-11-02 |
| 1073095121 | Diana Bakia | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-09-05 |
| 1245719558 | Elizabeth Loveland | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-08-08 |
| 1437637592 | Alex Wallace | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166320 | Rita Elaine Brockie | Counselor | 2419 E 3rd St, Mishawaka, IN 46544-3327 | 2020-08-28 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| 1427480110 | Sarah A Fifer | Counselor | 4201 Lincolnway E, Mishawaka, IN 46544-4020 | 2013-08-05 |
| 1508021106 | Sara Skodinski | Counselor | 515 Lincolnway W, Mishawaka, IN 46544-1808 | 2008-07-23 |
| 1821190810 | Scott R. Tafelski | Counselor | 1818 Went Ave, Suite A, Mishawaka, IN 46545-6482 | 2006-09-01 |
| 1871581793 | Deborah K Kriegel | Counselor | 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015 | 2005-10-13 |
| 1023664315 | Recore Counseling LLC | Counselor | 3835 Edison Lakes Parkway, Suite # 200, Mishawaka, IN 46545-3419 | 2019-08-13 |
| 1548762511 | Tonya Denton | Counselor | 1818 Went Ave, Mishawaka, IN 46545-6482 | 2018-03-06 |
| 1750824801 | Cassandra Davis | Counselor | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2016-11-22 |
| 1306232723 | Estella Ganger | Counselor | 1818 Went Ave, Mishawaka, IN 46545-6482 | 2015-04-13 |
| Find all providers in MISHAWAKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.