DR. JENNA A ROSE PHD
NPI 1033996400
Psychologist in New York, NY

Active since September 11, 2023PECOS Enrolled
411 W 114TH ST, NEW YORK, NY 10025(646) 334-9058 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jenna A Rose Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNA A ROSE PHD (NPI 1033996400) is an individual psychologist in New York, New York and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033996400
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNA A ROSECredential: PHD
Location Address411 W 114TH STNew York, NY 10025-1710
Mailing Address1090 Amsterdam AveNew York, NY 10025-1737 · (646) 334-9058
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1033996400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
411 W 114TH ST, New York, NY 10025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenna A Rose Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
411 W 114TH ST
NEW YORK, NY 10025
Occupational Therapist
411 W 114TH ST, SUITE 4C
NEW YORK, NY 10025
Psychologist (Clinical)
411 W 114TH ST
NEW YORK, NY 10025
Psychologist
411 W 114TH ST
NEW YORK, NY 10025
Student in an Organized Health Care Education/Training Program
411 W 114TH ST
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
411 W 114TH ST
NEW YORK, NY 10025
Psychiatric Hospital
411 W 114TH ST
NEW YORK, NY 10025
Social Worker
411 W 114TH ST
NEW YORK, NY 10025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Rose's NPI number?

The NPI number for Jenna Rose is 1033996400. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Jenna Rose located?

Jenna Rose practices at 411 W 114th St, New York, NY 10025. The listed phone number is (646) 334-9058.

What is Jenna Rose's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jenna Rose enrolled in Medicare?

Yes. Jenna Rose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Rose reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Rose was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.