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DR. MARY W ROSE PSY.D, C.B.S.M
NPI 1265525927
Sleep Specialist, PhD in Webster, TX

Active since October 02, 2006Opted out of Medicare · through Oct 1, 2026
400 N TEXAS AVENUE, SUITE B, WEBSTER, TX 77598(281) 316-8400(281) 318-8410 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary W Rose Psy.d, C.b.s.m NPPES

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

DR. MARY W ROSE PSY.D, C.B.S.M (NPI 1265525927) is an individual sleep specialist, phd provider in Webster, Texas, licensed in Texas (3-1557) and active in the NPI registry since October 2006. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1265525927
Entity TypeIndividualFemale
Primary Taxonomy173F00000X
Provider Legal NameDR. MARY W ROSECredential: PSY.D, C.B.S.M
Location Address400 N TEXAS AVENUE, SUITE BWebster, TX 77598
Mailing Address400 N. Texas Avenue, Suite BWebster, TX 77598 · (281) 316-8400 · Fax (281) 318-8410
Phone(281) 316-8400
Fax(281) 318-8410
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 1, 2013
✔ NPI 1265525927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySleep Specialist, PhDOther Service Providers
Taxonomy Code173F00000X
License✔ Licensed in TX · 3-1557
Definition
Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 31557 (TX)
400 N TEXAS AVENUE, Webster, TX 77598
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Other Identifiers 3

Medicare UPINP42475TX
Medicaid147062701TX
Medicare PIN8B5936TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary W Rose Psy.d, C.b.s.m has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Mary Rose's NPI number?

The NPI number for Mary Rose is 1265525927. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mary Rose located?

Mary Rose practices at 400 N Texas Avenue Suite B, Webster, TX 77598. The listed phone number is (281) 316-8400.

What is Mary Rose's specialty?

The primary specialty registered for this NPI is Sleep Specialist, PhD with taxonomy code 173F00000X.

Is Mary Rose enrolled in Medicare?

No. Mary Rose has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Rose was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.