DR. MICHELLE LEE ROSE (NPI# 1891164265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164265 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LEE ROSE |
| Credential | PH.D. |
| Practice Address |
559 Vincent Street Attn: 21 Mdos/sgof - Family Practice Peterson Afb CO 80914-1540 |
| Practice Telephone | 7195562273 |
| Practice Fax Number | 8668677926 |
| Mailing Telephone | 7195562273 |
| Mailing Fax Number | 8668677926 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265822456 | Michelle Rose | Social Worker | 4706 Huron Dr, Pensacola, FL 32507-8783 | 2015-01-27 |
| 1306133202 | Michelle Rose | Dentist | 1911 Malvern Ave Ste B, Hot Springs, AR 71901-7753 | 2011-06-30 |
| 1609850981 | Michelle Patricia Rose | Pediatrics | 135 N Arlington Heights Rd Ste 152, Buffalo Grove, IL 60089-1782 | 2005-12-01 |
| 1740281039 | Michelle Susanne Rose | Chiropractor | 1190 Lynnhaven Pkwy, Virginia Beach, VA 23452-4814 | 2005-08-09 |
| 1861007338 | Michelle S Rose | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-09-11 |
| 1053884536 | Michelle Takemi Rose | Behavioral Analyst | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2019-01-07 |
| 1205331030 | Michelle Rose | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2018-03-25 |
| 1881136273 | Michelle Ranae Rose | Occupational Therapist | 1020 Ruby Vista Dr Unit 102, Elko, NV 89801-2876 | 2016-11-16 |
| 1760932362 | Michelle Rose | Specialist | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2016-10-06 |
| 1770963902 | Michelle L Rose | Family Medicine | 1803 Papio Ln, Cozad, NE 69130-1138 | 2015-06-03 |
| Street Address |
559 VINCENT STREET ATTN: 21 MDOS/SGOF - FAMILY PRACTICE |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710616 | Amanda Michelle Fulmer | Registered Nurse | 559 Vincent Street, 21 Mdos/sgog-attn: Women's Health, Peterson Afb, CO 80914-1540 | 2016-06-09 |
| 1295858884 | Judy M Cole | Psychologist | 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 | 2007-04-09 |
| 1851430680 | David Brian Chiesa | Dentist | 559 Vincent Street, Attn: 21 Ds/sgd - Dental Clinic, Peterson Afb, CO 80914-1540 | 2007-02-06 |
| 1245329846 | Erin Peterson | Nurse Practitioner | 559 Vincent Street, Attn: 21 Mdos/sgof - Family Practice, Peterson Afb, CO 80914-1540 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| Find all providers in zip 80914 | ||||
| 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 |
|---|---|---|---|---|
| 1104295690 | Christopher Noullet | Psychologist | 559 Vincent St., 21 Mdos/sgow - Attn: Mental Health, Peterson Afb, CO 80914-1540 | 2015-09-15 |
| 1982018321 | Chad Houchin | Psychologist | 559 Vincent St, Attn: 21 Omrs/sgow - Mental Health, Peterson Afb, CO 80914-1540 | 2014-06-13 |
| 1437309952 | Maureen Forsythe Kimsey | Psychologist | 110 W Ent Ave, Peterson Afb, CO 80914-1595 | 2008-09-19 |
| 1467424507 | Todd William Neu | Psychologist | 559 Vincent St, Attn: 21 Mdos/sgoh- Mental Health, Peterson Afb, CO 80914-1540 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647389 | A Peaceful Mind LLC | Psychologist | 420 S Howes St Ste B-100, Fort Collins, CO 80521-2871 | 2020-10-21 |
| 1386242907 | Sarah Mcconnell | Psychologist | 7488 S Lafayette Cir E, Centennial, CO 80122-1414 | 2020-10-15 |
| 1437766466 | Lindsay Shaw | Psychologist | 9451 Palladium Hts # C416, Colorado Springs, CO 80920-1615 | 2020-09-24 |
| 1609489608 | Bradley T Conner | Psychologist | 3203 Green Lake Drive, Fort Collins, CO 80524-1261 | 2020-08-28 |
| 1942810361 | Jessica Luginbuhl | Psychologist | 1805 S Bellaire St Ste 502, Denver, CO 80222-4325 | 2020-08-01 |
| 1396353231 | Daniel Raedel | Psychologist | 2010 Willard Loop Dr, N352, Boulder, CO 80305-2448 | 2020-07-16 |
| 1902421415 | Brian Daniel Gustman | Psychologist | 6333 Copper Dr, Frederick, CO 80516-9351 | 2020-06-10 |
| 1619502838 | Ute Pass Psychological Consultation | Psychologist | 900 Tamarac Pkwy Unit 7122, Woodland Park, CO 80863-7776 | 2020-03-09 |
| 1558994376 | Hopebridge LLC | Psychologist | 1 Inverness Dr E Ste 101, Englewood, CO 80112-5519 | 2020-02-20 |
| 1669005922 | Kate Klein Mcgoldrick | Psychologist | 495 Uinta Way Ste 220, Denver, CO 80230-7198 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.