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ROSE RESILIENCY CENTER
NPI 1104261213
Psychologist - Prescribing (Medical) in Pocono Summit, PA

Active since May 02, 2013
2557 ROUTE 940, SUITE 102, POCONO SUMMIT, PA 18346(866) 343-5509(570) 839-5392 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rose Resiliency Center NPPES

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

ROSE RESILIENCY CENTER (NPI 1104261213) is a healthcare organization registered as a prescribing (medical) in Pocono Summit, Pennsylvania and active in the NPI registry since May 2013. The organization lists William Freeman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104261213
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameROSE RESILIENCY CENTER
Location Address2557 ROUTE 940, SUITE 102Pocono Summit, PA 18346
Mailing AddressPo Box 329Mount Pocono, PA 18344-0329 · (866) 343-5509 · Fax (570) 839-5392
Phone(866) 343-5509
Fax(570) 839-5392
Organization SubpartYesParent: Second Haven Services For Youth
Authorized OfficialWilliam FreemanExecutive Director · (866) 343-5509
Enumeration DateMay 2, 2013
✔ NPI 1104261213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in PA · MD037460L
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

2557 ROUTE 940, Pocono Summit, PA 18346
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PROF. ARTHUR LEE JONES JR. MDIV
Counselor (Pastoral)
2557 ROUTE 940
POCONO SUMMIT, PA 18346
Monroe County (570) 972-5480

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 Rose Resiliency Center's NPI number?

The NPI number for Rose Resiliency Center is 1104261213. It was assigned to this organization in the NPPES registry on May 2, 2013.

Where is Rose Resiliency Center located?

Rose Resiliency Center is located at 2557 Route 940 Suite 102, Pocono Summit, PA 18346. The listed phone number is (866) 343-5509.

What is Rose Resiliency Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Rose Resiliency Center was last updated on May 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.