NPPES file of Aug 9, 2026

Jonathan Dale Rosenboom, PSY.D.

Clinical Psychologist · Warsaw, MO

Jonathan Dale Rosenboom, PSY.D. is a clinical psychologist with a practice address in Warsaw, Missouri, and NPI 1679716864, issued on Apr 17, 2009. Check the license (Missouri 01221, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1679716864
Name
Jonathan Dale Rosenboom
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
01221 MO
Self-reported in NPPES; status is on the state search
Practice location
17571 N Dam Access RD, Warsaw, MO 65355
Phone
(888) 403-1071
Enumerated
Apr 17, 2009
Record last updated
Mar 18, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20101011000700); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 911 in Missouri → Look up another NPI →

Also registered at 17571 N Dam Access RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tracy Adams, LPCMental Health Counselor1669729919
  2. Jessica Burdick, RDHDental Hygienist1285994509
  3. Rebecca Camden, LCSWClinical Social Worker1760468276
  4. Seth Casey, LCSWClinical Social Worker1609442219
  5. Ashley Degraffenreid, LPNLicensed Practical Nurse1952964926
  6. Bhavini Gopaldas, PAPhysician Assistant1811412372

Verify Jonathan Dale Rosenboom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 01221    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Compass Health IncClinton, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jonathan Dale Rosenboom among 911 clinical psychologist records in Missouri

Jonathan Dale Rosenboom, PSY.D. is one of 911 clinical psychologist records with a practice address in Missouri. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 50% of them.

  • NPI issued2009 · 50% of these records are older, 45% newer
  • In a Medicare fileYes · 16% of these records are
  • In the CMS Doctors and Clinicians fileYes · 23% of these records are
  • Graduated1984 · median 2007 among the 214 with a school on file
  • Record last updated2020 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Missouri

There are 911 clinical psychologist records in Missouri.

All 911 in Missouri → Every provider in Warsaw → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Tyler Alder, PLPWindsor, MO 653601639659642
  2. Dominic Alvernaz, PLPWindsor, MO 653601801489752
  3. Michelle Brooks, LP, PSYDWindsor, MO 653601689254682
  4. Amie CooperWindsor, MO 653601386710267
  5. Latasha Dean, LP, PSYDWindsor, MO 653601831781871
  6. Patrick Fletcher, PSYDWindsor, MO 653601881245173
  7. Tenea Lowman, PSYDWindsor, MO 653601366420796
  8. Colin McLaughlin, PLPWindsor, MO 653601689555260

Common questions

What is Jonathan Dale Rosenboom, PSY.D.'s NPI number?

Jonathan Dale Rosenboom, PSY.D.'s National Provider Identifier (NPI) is 1679716864, issued on Apr 17, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Jonathan Dale Rosenboom, PSY.D. located?

The NPPES record lists a practice address at 17571 N Dam Access RD, Warsaw, MO, 65355. Phone: (888) 403-1071. Providers update this record themselves, so call before visiting.

How can I verify Jonathan Dale Rosenboom, PSY.D.'s license?

NPPES lists Missouri license number 01221, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.