# WARREN D. ROSEN, PH.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710191945
- **Authorized official:** DR. WARREN D. ROSEN PH.D. (PRESIDENT)
- **Authorized official phone:** (847) 763-1280

## Contact information

- **Practice address:** 8707 SKOKIE BLVD, SUITE 210, SKOKIE, IL 60077-2269
- **Practice address phone:** (847) 763-1280
- **Practice address fax:** (847) 763-1301
- **Mailing address:** 8707 SKOKIE BLVD, SUITE 210, SKOKIE, IL 60077-2269
- **Mailing address phone:** (847) 763-1280
- **Mailing address fax:** (847) 763-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | IL | — |
| 103TC0700X | Clinical Psychologist | — | IL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | IL | — |
| 106H00000X | Marriage & Family Therapist | — | IL | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 09/11/2025
