MS. ROXANNE MAE ROSE PHD
NPI 1124084942
Psychologist in Devils Lake, ND

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
217 GRANDVIEW AVE, DEVILS LAKE, ND 58301(701) 662-5590(701) 665-3252 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Roxanne Mae Rose Phd NPPES

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

MS. ROXANNE MAE ROSE PHD (NPI 1124084942) is an individual psychologist in Devils Lake, North Dakota, licensed in North Dakota (2096) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1124084942
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ROXANNE MAE ROSECredential: PHD
Location Address217 GRANDVIEW AVEDevils Lake, ND 58301-4123
Mailing Address217 Grandview AveDevils Lake, ND 58301-4123 · (701) 662-5590 · Fax (701) 665-3252
Fax(701) 665-3252
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 2, 2012
NPI 1124084942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ND · 2096
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.
217 GRANDVIEW AVE, Devils Lake, ND 58301

Other Identifiers 6

Other23117ND · Bc/bc
Other24043ND · Nd Bc/bs
OtherN715569ND · Medicare Ptan
Medicaid19124ND
Medicaid181620900MN
Other284K8DAMN · Mn Bc/bs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Roxanne Mae Rose Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517953037
PECOS Enrollment IDI20040421001076
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.

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 Roxanne Rose's NPI number?

The NPI number for Roxanne Rose is 1124084942. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Roxanne Rose located?

Roxanne Rose practices at 217 Grandview Ave, Devils Lake, ND 58301. The listed phone number is (701) 662-5590.

What is Roxanne Rose's specialty?

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

Is Roxanne Rose enrolled in Medicare?

Yes. Roxanne Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roxanne Rose accept?

Health plans from Medica and Sanford Health Plan list Roxanne Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roxanne Rose was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.