DR. SARA ELLEN ROSENQUIST (NPI# 1548213804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548213804 |
| Entity Type | Individual |
| Full Name | DR. SARA ELLEN ROSENQUIST |
| Credential | PH.D., ABPP |
| Practice Address |
1145 Executive Cir Ste A Cary NC 27511-4586 |
| Mailing Address |
5815 Cameo Glass Way Raleigh NC 27612-3076 |
| Practice Telephone | 8663374911 |
| Practice Fax Number | 8669194850 |
| Mailing Telephone | 9192600762 |
| Mailing Fax Number | 8669194850 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1381 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER NUMBER | 0424E | 01 |
| DC | CAREFIRST | C-165267 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1829 E Franklin St Ste 100g, Chapel Hill, NC 275141866 | 8663374911 | 8669194850 |
| 1054 31st St Nw Ste 500, Washington, DC 200076038 | 8663374911 | 8669194850 |
| Street Address |
1145 EXECUTIVE CIR STE A |
| City | CARY |
| State | NC |
| Zip Code | 27511-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700847639 | Joanna Patricia Evans | Social Worker | 1145 Executive Cir Ste A, Cary, NC 27511-4586 | 2006-03-30 |
| 1669669032 | Lisa Renee Schwartz | Counselor | 1145 Executive Cir Ste A, Cary, NC 27511-4586 | 2007-10-01 |
| 1669586046 | Joanna P. Evans, Lcsw Pllc | Social Worker | 1145 Executive Cir Ste A, Cary, NC 27511-4586 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1376931071 | Kristen Valus | Psychologist | 501 Keisler Drive, Suite 204, Cary, NC 27518 | 2015-01-03 |
| 1467853820 | Laura A. Monti Phd Psyd PC | Psychologist | 720 Cimarron Dr, Cary, IL 60013-3354 | 2014-09-04 |
| 1174968879 | Winds of Change, LLC | Psychologist | 212 Crystal St, Suite D, Cary, IL 60013-2092 | 2013-05-08 |
| 1508146952 | Amanda Eliza Seavey | Psychologist | 421 Nickel Creek Cir, Cary, NC 27519-6966 | 2011-08-17 |
| 1245534874 | Tamara Dawn Denbesten | Psychologist | 222 E Chatham St, Cary, NC 27511-3458 | 2010-12-22 |
| 1275779571 | Western Wake Counseling & Psychological Services, Pllc | Psychologist | 8000 Regency Pkwy, Suite 570, Cary, NC 27518-8582 | 2008-12-17 |
| 1225214737 | Elizabeth Mcgee Martin | Psychologist | 201 Shannon Oaks Cir, Ste 200, Cary, NC 27511-5570 | 2008-01-14 |
| 1215116157 | John A. Anderson, Psy.d., Inc. | Psychologist | 501 Pinner Weald Way, Suite 201, Cary, NC 27513-2610 | 2007-10-28 |
| 1427255116 | Kristin A Krippa | Psychologist | 130 Iowa Ln Ste 201, Cary, NC 27511-4494 | 2007-06-27 |
| Find all providers in CARY | ||||
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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.