Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tara Jean Rose, PSYD

Individual provider Psychologist · NPI 1417670670

Dr. Tara Jean Rose, PSYD is a Clinical Psychologist in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2022
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1001 Blythe Blvd Ste 4200
Charlotte, NC 28203-5866
Phone: (704) 355-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 Richland Medical Park Dr Ste 215, Columbia, SC 29203-6863 — (803) 434-3533

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6935 (NC)
Psychologist Taxonomy 103T00000X · Licence 1752 (SC)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY1752 (SC)

Record details

NPI number1417670670
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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