DR. DAVID S. ROSE PH.D.
NPI 1710005038
Psychologist - Clinical in Silver Spring, MD

Active since March 26, 2007Opted out of Medicare · through Jan 1, 2028
1110 FIDLER LN, SUITE 1417, SILVER SPRING, MD 20910(301) 587-5735(240) 331-7190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David S. Rose Ph.d. NPPES

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

DR. DAVID S. ROSE PH.D. (NPI 1710005038) is an individual clinical provider in Silver Spring, Maryland, licensed in Maryland (2429) and active in the NPI registry since March 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710005038
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID S. ROSECredential: PH.D.
Location Address1110 FIDLER LN, SUITE 1417Silver Spring, MD 20910-3425
Mailing Address1110 Fidler Ln, Suite 1417Silver Spring, MD 20910-3425 · (301) 587-5735 · Fax (240) 331-7190
Fax(240) 331-7190
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710005038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 2429
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1110 FIDLER LN, Silver Spring, MD 20910

Other Identifiers 1

Medicare UPIN720-260MD

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. David S. Rose Ph.d. 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 January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
1110 FIDLER LN, SUITE # 1218
SILVER SPRING, MD 20910
Psychologist (Clinical)
1110 FIDLER LN, #1417
SILVER SPRING, MD 20910
Social Worker (Clinical)
1110 FIDLER LN, 1218
SILVER SPRING, MD 20910

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 David Rose's NPI number?

The NPI number for David Rose is 1710005038. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is David Rose located?

David Rose practices at 1110 Fidler Ln Suite 1417, Silver Spring, MD 20910. The listed phone number is (301) 587-5735.

What is David Rose's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Rose enrolled in Medicare?

No. David Rose has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.