DR. STACY ROSEN


Address: 1 Prospect St Ste 5, Ridgewood, NJ 07450-4440
Phone: 2014472242

DR. STACY ROSEN (NPI# 1962744896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962744896
Entity Type Individual
Full Name DR. STACY ROSEN
Credential PSY.D.
Practice Address 1 Prospect St Ste 5
Ridgewood
NJ 07450-4440
Practice Telephone 2014472242
Mailing Telephone 2014472242
Enumeration Date 2013-03-18
Last Update Date 2013-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103T00000X Psychologist 019610 NY Behavioral Health & Social Service Providers

Other Providers STACY ROSEN

NPI Name Taxonomy Address Enumeration
1427233568 Stacy M. Rosen Social Worker 231 Grant Ave, Palo Alto, CA 94306-1907 2008-01-08

Office Location

Street Address 1 PROSPECT ST STE 5
City RIDGEWOOD
State NJ
Zip Code 07450-4440

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1023675857 Children's Aid and Family Services, Inc. Behavioral Analyst 213 Larue Road, W. Milford, NJ 07450 2019-05-28
1962065979 Corey Chan Student in an Organized Health Care Education/Training Program 550 Lynn St, Ridgewood, NJ 07450 2019-04-16
1679058200 Raymond Hawash Pharmacist 223 North Van Dien Ave, Ridgewood, NJ 07450 2018-09-28
1548771967 Leonard Swerdlof Dentist 160 S Broad St, Ridgewood, NJ 07450 2017-10-12
1336671114 Camp Sunshine and Camp Snowflake, Inc. Respite Care 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 2017-03-30
1952764862 Elysium Aesthetics and Vein Care, Inc Radiology 400 State Route 17, Ridgewood, NJ 07450 2016-03-30
1780077362 Paul Walter Dasher Psychologist 76 West Ridgewood Avenue, Ridgewood, NJ 07450 2015-03-06
1255750071 Myron Frank Lesh Pharmacist 305 E. Ridgewood Ave., Ridgewood, NJ 07450 2014-04-09
1649612912 Jane Worthman-leva Nutritionist 357 South Irving St, Ridgewood, NJ 07450 2013-07-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275000366 Maria A Staropoli-hafner Psychologist 589 Franklin Tpke Ste 8, Ridgewood, NJ 07450-1928 2018-10-27
1780077362 Paul Walter Dasher Psychologist 76 West Ridgewood Avenue, Ridgewood, NJ 07450 2015-03-06
1124435425 James F Battaglia Psychology PC Psychologist 201 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450-3864 2014-07-18
1801093745 Deborah Wagner Phd LLC Psychologist 1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928 2007-07-02
1518168095 Lawrence P. Mcgowan Psychologist 6433 Palmetto St, Ridgewood, NY 11385-3326 2007-05-30
1588782510 George Patrick Tierney Psychologist 10 Wilsey Square, Suite 232, Ridgewood, NJ 07450-3729 2007-03-27
1285759332 Larissa Elizabeth Labay Psychologist 615 Franklin Tpke, Suite 1, Ridgewood, NJ 07450-1903 2007-03-20
1831237510 Mark David Hatton Psychologist 55a E Ridgewood Ave, Suite 2, Ridgewood, NJ 07450-3867 2007-02-02
1235280132 Moti Peleg Psychologist 115 Pine St, Ridgewood, NJ 07450-1619 2007-01-16
1598862393 Linda Levy Psychologist 10 Garber Sq, Ste 5, Ridgewood, NJ 07450-3129 2006-09-20
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Competitor

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City RIDGEWOOD
Zip Code 07450

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Dataset Information

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.

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