MS. ROXANNE MAE ROSE (NPI# 1124084942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124084942 |
| Entity Type | Individual |
| Full Name | MS. ROXANNE MAE ROSE |
| Credential | PHD |
| Practice Address |
217 Grandview Ave Devils Lake ND 58301-4123 |
| Practice Telephone | 7016625590 |
| Practice Fax Number | 7016653252 |
| Mailing Telephone | 7016625590 |
| Mailing Fax Number | 7016653252 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2096 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BC/BS | 284K8DA | 01 |
| ND | MEDICARE PTAN | N715569 | 01 |
| ND | ND BC/BS | 24043 | 01 |
| MN | 181620900 | 05 | |
| ND | 19124 | 05 | |
| ND | BC/BC | 23117 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003122045 | Roxanne Rose | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2010-08-27 |
| Street Address |
217 GRANDVIEW AVE |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356651228 | Patricia J Bradley | Psychologist | 200 Highway 2 Sw, Devils Lake, ND 58301-3532 | 2010-10-13 |
| 1730120882 | Davidf P Kuna | Psychologist | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067084 | Minela Zornic | Psychologist | 204 24th St S Apt 210, Fargo, ND 58103-1350 | 2020-06-09 |
| 1760993588 | Henry Carl Riegler | Psychologist | 1205 N Mandan St, Bismarck, ND 58501-2609 | 2017-10-19 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| 1578838090 | Sherman Normandin | Psychologist | 2534 17th Ave S Ste E, Grand Forks, ND 58201-5215 | 2012-03-16 |
| 1518240332 | Erica R Hoff | Psychologist | 505 40th St. S., Suite 505a, Fargo, ND 58103 | 2011-09-28 |
| 1891011342 | Jessica R Mugge | Psychologist | 1900- 8th Ave Se, Minot, ND 58701 | 2010-04-08 |
| 1528397288 | Shannon C Alexander | Psychologist | 819 Cinnamon Ridge Place, West Fargo, ND 58078 | 2009-12-09 |
| 1316272503 | Alana S Semchenko | Psychologist | 515 1/2 E Broadway Ave, Ste 106, Bismarck, ND 58501-4408 | 2009-10-06 |
| 1538399019 | Kristilynn Cedars | Psychologist | 5225 23rd Ave S Route 4712, Fargo, ND 58122-4712 | 2009-07-20 |
| 1689812810 | James P Link | Psychologist | 1424 W Century Ave Ste 207, Bismarck, ND 58503-0917 | 2009-01-26 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.