Jonathon Rose, PH.D.
Jonathon Rose, PH.D. is an Adult Development & Aging Psychologist in San Mateo, CA, registered under NPI 1154382380. This provider registers 7 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 327 N SAN MATEO DR SUITE 3, San Mateo, CA 94401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PSY12143 | CA | Clinical Neuropsychologist |
| PSY12143 | CA | Adult Development & Aging Psychologist primary |
| PSY12143 | CA | Clinical Psychologist |
| PSY12143 | CA | Forensic Psychologist |
| PSY12143 | CA | Health Service Psychologist |
| PSY12143 | CA | Psychologist |
| PSY12143 | CA | Rehabilitation Psychologist |
This provider holds licence PSY12143 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adult Development & Aging covers
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. NUCC Health Care Provider Taxonomy, code 103TA0700X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY12143 | CA | |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | PSY12143 | CA | primary |
| 103TC0700X | Clinical Psychologist Clinical | PSY12143 | CA | |
| 103TF0200X | Forensic Psychologist Forensic | PSY12143 | CA | |
| 103TH0100X | Health Service Psychologist Health Service | PSY12143 | CA | |
| 103T00000X | Psychologist | PSY12143 | CA | |
| 103TR0400X | Rehabilitation Psychologist Rehabilitation | PSY12143 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1154382380 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 29, 2006 |
| Last updated | Jul 29, 2010 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | PH.D. |
| Practice address |
327 N SAN MATEO DR SUITE 3 San Mateo, CA 94401 (650) 703-4769 |
| Mailing address |
411 HILLCREST RD San Carlos, CA 94070 |
| Other identifiers |
PSY121430
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 3 | 8 | 2 | 3 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 6 | 8 | 4 | 3 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.