DR. TARA JEAN ROSE PSYD
NPI 1417670670
Psychologist in Charlotte, NC

Active since September 22, 2022PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD STE 4200, CHARLOTTE, NC 28203(704) 355-0101 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, Sep 30, 2022, Sep 22, 2022 (3 updates tracked since 2022).

About Dr. Tara Jean Rose Psyd NPPES

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

DR. TARA JEAN ROSE PSYD (NPI 1417670670) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (6935) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417670670
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TARA JEAN ROSECredential: PSYD
Location Address1001 BLYTHE BLVD STE 4200Charlotte, NC 28203-5866
Mailing Address1001 Blythe Blvd Ste 4200Charlotte, NC 28203-5866
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2022
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1417670670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NC · 6935 Licensed in SC · 1752
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY1752 (SC)
1001 BLYTHE BLVD STE 4200, Charlotte, NC 28203

Other Names 1

Former Name (1)Dr. Tara Jean Hoverstad Psyd

Secondary Practice Location 1

Location 17 Richland Medical Park Dr Ste 215Columbia, SC 29203-6863 · Phone (803) 434-3533 · Fax (803) 434-3904

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

Dr. Tara Jean Rose Psyd 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 ID7113393265
PECOS Enrollment IDI20251222000069
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 Tara Rose's NPI number?

The NPI number for Tara Rose is 1417670670. It was assigned to this individual provider in the NPPES registry on September 22, 2022. The provider is also known as Dr. Tara Jean Hoverstad Psyd.

Where is Tara Rose located?

Tara Rose practices at 1001 Blythe Blvd Ste 4200, Charlotte, NC 28203. The listed phone number is (704) 355-0101.

What is Tara Rose's specialty?

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

Is Tara Rose enrolled in Medicare?

Yes. Tara 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 Tara Rose accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Tara 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 Tara Rose was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.