DR. MAX SAMUEL ROSEN MD
NPI 1255715793
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO

Q: What is Max Rosen's NPI number?

The NPI number for Max Rosen is 1255715793. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Max Rosen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Max Rosen was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 15, 2015PECOS Enrolled

4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108(314) 286-1700(314) 286-1777 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 23, 2023 and 3 more (6 updates tracked since 2020).

On this page

About Dr. Max Samuel Rosen Md NPPES

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

DR. MAX SAMUEL ROSEN MD (NPI 1255715793) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2017005242) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255715793

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MAX SAMUEL ROSENCredential: MD

Location Address4444 FOREST PARK AVE, STE 2600Saint Louis, MO 63108-2212

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1700 · Fax (314) 286-1777

Phone(314) 286-1700

Fax(314) 286-1777

Sole ProprietorNo

Enumeration DateJuly 15, 2015

Last NPPES UpdateApril 17, 20256 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1255715793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MO · 2017005242

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

4444 FOREST PARK AVE, Saint Louis, MO 63108

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Other Identifiers 1

Medicaid200061303MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Max Samuel Rosen Md 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.

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.

DR. PATRICIA TEREESE JIMENEZ MD

Obstetrics & Gynecology (Reproductive Endocrinology)

4444 FOREST PARK AVE, DIV OB REPRODUCTIVE ENDOCRINOLOGY, STE 3100
SAINT LOUIS, MO 63108

St. Louis City (314) 286-2400

DR. DANIELLE BUCHANAN IVIE DPT

Physical Therapist

4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1940

MS. MARY GRACE PORTELL LPC

Counselor (Professional)

4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

MRS. PATRICIA K NELLIS OT

Occupational Therapist

4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1669

DR. KELLY N BOTTERON MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

DR. ROBERT P FUCETOLA PHD

Clinical Neuropsychologist

4444 FOREST PARK AVE, DIV NEUROPSYCHOLOGY, 2ND FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-1408

MS. CHERYL L KLOHR MS OT

Occupational Therapist

4444 FOREST PARK AVE
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5079

MS. BRIDGET O OCHUKO DPT

Physical Therapist

4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1940

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 Max Rosen's NPI number?

The NPI number for Max Rosen is 1255715793. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Max Rosen located?

Max Rosen practices at 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108. The listed phone number is (314) 286-1700.

What is Max Rosen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Max Rosen enrolled in Medicare?

Yes. Max Rosen is registered in the Medicare PECOS enrollment system.

What insurance does Max Rosen accept?

Health plans from Medica list Max Rosen 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 Max Rosen was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.