Tara Rose, PSYD
NPI 1417670670 · Psychologist · Charlotte, NC
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Rose, PSYD is a Psychologist provider in Charlotte, NC (NPI 1417670670).
Provider details
- NPI number
- 1417670670
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 1752 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7 Richland Medical Park Dr Ste 215Columbia, SC 29203-6863Phone: (803) 434-3533Fax: (803) 434-3904
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Tara Rose's NPI number?
- Tara Rose's National Provider Identifier (NPI) is 1417670670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Rose's specialty?
- Tara Rose is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Tara Rose located?
- Tara Rose's practice location on file with NPPES is 1001 Blythe Blvd Ste 4200, Charlotte, NC 28203-5866.
- What is Tara Rose's phone number?
- The practice phone number listed in the NPPES registry for Tara Rose is (704) 355-0101.
- Does Tara Rose accept Medicare?
- Tara Rose is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Rose's NPI active?
- Yes — Tara Rose's NPI (1417670670) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.