Jonathan Rosenboom, PSY.D.
NPI 1679716864 · Clinical Psychologist · Warsaw, MO
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Rosenboom, PSY.D. is a Clinical Psychologist provider in Warsaw, MO (NPI 1679716864).
Provider details
- NPI number
- 1679716864
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01221 (MO)
Specialties & taxonomies
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
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 1901 N Westwood BlvdSuite 5Poplar Bluff, MO 63901-2800Phone: (573) 680-6509Fax: (573) 760-0201
- 1901 N Westwood BlvdSuite 5Poplar Bluff, MO 63901-2800Phone: (573) 680-6509Fax: (573) 760-0201
- 616 Burkarth RdWarrensburg, MO 64093-1462Phone: (888) 403-1071
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2020-03-18
- Certified
- 2020-03-18
Frequently asked questions
- What is Jonathan Rosenboom's NPI number?
- Jonathan Rosenboom's National Provider Identifier (NPI) is 1679716864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Rosenboom's specialty?
- Jonathan Rosenboom is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jonathan Rosenboom located?
- Jonathan Rosenboom's practice location on file with NPPES is 17571 N Dam Access Rd, Warsaw, MO 65355.
- What is Jonathan Rosenboom's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Rosenboom is (888) 403-1071.
- Does Jonathan Rosenboom accept Medicare?
- Jonathan Rosenboom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Rosenboom's NPI active?
- Yes — Jonathan Rosenboom's NPI (1679716864) is active in the NPPES registry as of the last update on 2020-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.