WARREN D. ROSEN, PH.D., P.C. (NPI# 1710191945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710191945 |
Entity Type | Organization |
Organization Name | WARREN D. ROSEN, PH.D., P.C. |
Practice Address |
8707 Skokie Blvd Suite 210 Skokie IL 60077-2269 |
Practice Telephone | 8477631280 |
Practice Fax Number | 8477631301 |
Mailing Telephone | 8477631280 |
Mailing Fax Number | 8477631301 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. WARREN D. ROSEN (PRESIDENT) |
Authorized Official Telephone | 8477631280 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers | |
X | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers | |
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
IL | Behavioral Health & Social Service Providers | |
X | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
Street Address |
8707 SKOKIE BLVD SUITE 210 |
City | SKOKIE |
State | IL |
Zip Code | 60077-2269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306805593 | Elizabeth K Chung | Obstetrics & Gynecology | 8707 Skokie Blvd, Suite 216, Skokie, IL 60077-2269 | 2006-03-17 |
1235602707 | Twin Cities Tms LLC | Psychiatry & Neurology | 8707 Skokie Blvd, Suite 207, Skokie, IL 60077 | 2019-01-08 |
1477034239 | Kelly Patricia Dale | Occupational Therapist | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-28 |
1013498260 | Mikhail Gurovich | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-26 |
1659851673 | Bianca Gambino | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-20 |
1053891929 | Kurtis Michael Smith | Student in an Organized Health Care Education/Training Program | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-20 |
1710486436 | Theresa Marie Buch | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-02-08 |
1720511611 | Lucien Izraylov | Counselor | 8707 Skokie Blvd, 207, Skokie, IL 60077-2269 | 2017-04-06 |
1629500533 | Katrina Lidik | Counselor | 8707 Skokie Blvd, 207, Skokie, IL 60077-2269 | 2017-03-30 |
1730611765 | Jessica Marie Miller | Counselor | 8707 Skokie Blvd, Suite 207, Skokie, IL 60077-2269 | 2017-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356556344 | Elena I. Kumkova | Clinical Neuropsychologist | 8021 Lincoln Ave, Skokie, IL 60077-3611 | 2007-05-11 |
1871530659 | Jean Marie Griffin | Clinical Neuropsychologist | 5225 Old Orchard Rd Ste 32, Skokie, IL 60077-1027 | 2006-06-01 |
1639497886 | Elsa Baehr | Clinical Neuropsychologist | 4711 Golf Rd, Suite 414, Skokie, IL 60076-1224 | 2010-05-12 |
1114188208 | Linda D Rice Pa | Clinical Neuropsychologist | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4460 | 2008-06-20 |
1659585875 | Warren D. Rosen | Clinical Neuropsychologist | 8707 Skokie Blvd, Suite 210, Skokie, IL 60077-2269 | 2007-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477183556 | Michelle Yvonne Kibby-faglier | Clinical Neuropsychologist | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
1043877475 | Sarah Mailander Dyer | Clinical Neuropsychologist | 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 | 2019-05-21 |
1639655632 | Julia Digangi | Clinical Neuropsychologist | 920 N York Rd, Hinsdale, IL 60521-2996 | 2018-07-13 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1538690466 | Kathleen Ares | Clinical Neuropsychologist | 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 | 2017-03-22 |
1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
1013462829 | Ann Westcot Jordan | Clinical Neuropsychologist | 21037 Benjamin Dr, Shorewood, IL 60404-0612 | 2016-08-22 |
1740638915 | Elizabeth Regina Tuminello Hartman | Clinical Neuropsychologist | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2016-05-29 |
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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.