Tayler Rose, is a 
Psychologist - Clinical based in Fitchburg, Massachusetts. Tayler Rose is licensed to practice in Massachusetts (license number PSY10000991) and his current practice location is 
1 Burns St, Fitchburg, Massachusetts. He can be reached at his office (for appointments etc.) via phone at 
(503) 913-3989.
NPI number for Tayler Rose is 1144737412 and his current mailing address is 1 Burns St, Fitchburg, Massachusetts. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144737412.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Tayler Rose | 
|---|
| Gender | Male | 
|---|
| Speciality | Psychologist - Clinical | 
|---|
| Location | 1 Burns St, Fitchburg, Massachusetts | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1144737412
- Provider Enumeration Date: 01/08/2018
- Last Update Date: 04/24/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Tayler Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1144737412 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | LMHC10000639 (Massachusetts) | Secondary | 
| 103TC0700X | Psychologist - Clinical | PSY10000991 (Massachusetts) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tayler Rose is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Tayler Rose, 1 Burns St,
 Fitchburg, MA 01420-3701
 Ph: (503) 913-3989
 | Tayler Rose, 1 Burns St,
 Fitchburg, MA 01420-3701
 Ph: (503) 913-3989
 | 
		
		 
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