Rosenbaum, Joel
Rosenbaum, Joel is an sole proprietor health care provider with primary practice located at 114 Whitwell St Quincy Medical Center, Suite B618, Quincy MA 02169-1870. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Rosenbaum, Joel can be contacted via phone (617) 376-2095.Contact Information
Primary practice address
114 Whitwell St Quincy Medical Center, Suite B618
Quincy MA 02169-1870
Phone: (617) 376-2095
Fax: (617) 376-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 05087 | Massachusetts |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 05087 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05087 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 05087 | Massachusetts |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 05087 | Massachusetts |
Profile Details
| NPI number | 1821025800 |
|---|---|
| LBN Legal business name | Rosenbaum, Joel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821025800 | NPPES |
| Massachusetts | MEDICAID | 0526894 | |
| Massachusetts | Other | 403324 | |
| Massachusetts | Other | W05943 |
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