JAY W ROSEN (PHD) – Clinical Neuropsychologist, NPI 1578846473

JAY W ROSEN (PHD) is a healthcare provider. based in Carlsbad, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 25093 (CA). The NPI Number for JAY W ROSEN (PHD) is 1578846473

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JAY W ROSEN (PHD)
NPI
1578846473
Phone
(760) 631-3000
Address
6010 HIDDEN VALLEY RD STE 200
Enumeration Date
27 September 2011
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7606313000
Graduation Year
2010 (16 years ago)
PAC ID
7315263217
Group Practice PAC ID
5193625911
Professional Enrollment ID
I20150312001581
Address ID
CA920114219CA6010XRDXX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for JAY W ROSEN (PHD)

  • 6010 HIDDEN VALLEY RD STE 200

    CARLSBAD, CA 920114219

    Phone: (760) 631-3000

    Fax: (760) 270-9534

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150312001581IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes1,130151$0
96133Evaluation of neuropsychological test, each additional hour304150$0
96116Exam of neurobehavioral status, first hour159159$0
96132Evaluation of neuropsychological test, first hour156155$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes153152$0
View full utilization report →

Insurance plans in this area (ZIP 92011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193625911View full group profile
NameSpecialtyState
Physician AssistantCA
N E U R O L O G YCA
Nurse PractitionerCA
Family Practice, Pulmonary DiseaseCA
Clinical PsychologistCA
N E U R O L O G YCA
-CA
N E U R O L O G YCA
Physician AssistantCA
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAY W ROSEN (PHD)?
JAY W ROSEN (PHD) — NPI 1578846473 — is the standard way to identify this listing.
Is JAY W ROSEN (PHD) still practicing?
JAY W ROSEN (PHD) is currently listed as active in the public NPI registry.
What is JAY W ROSEN (PHD)'s primary classification?
Clinical Neuropsychologist is the headline specialty for JAY W ROSEN (PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect JAY W ROSEN (PHD) on a map?
Expect Carlsbad, California as a primary anchor for JAY W ROSEN (PHD) unless the record lists multiple sites.
Why does JAY W ROSEN (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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