Roxanne Mae Rose, PHD
NPI 1124084942ActiveIndividual· Psychologist· Devils Lake, ND
Psychologist (PHD) in Devils Lake, North Dakota, licensed in ND, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1124084942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2006 |
| Last updated in NPPES | Feb 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2096 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Psychologist providers in Devils Lake
- 1356651228
- 1730120882