Active NPI
Rosa Maria Colonna, PHD
- Psychologist
- Long Beach, CA
National Provider Identifier
1003439381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 15111
- Practice address
- 4000 Long Beach Blvd # 228
Long Beach, CA 90807-2617 - Phone
- (818) 632-2895
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 15111 | CA | Primary |
Addresses
Primary practice location
4000 Long Beach Blvd # 228
Long Beach, CA 90807-2617
Mailing address
7177 Alvern St Apt 317
Los Angeles, CA 90045-2079
Phone (310) 779-0207
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | renewmedical7@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15111 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1003439381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 ALVERN ST APT 317",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452079",
"telephone_number": "310-779-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LONG BEACH BLVD # 228",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072617",
"telephone_number": "818-632-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLONNA",
"first_name": "ROSA",
"middle_name": "MARIA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "15111",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "renewmedical7@gmail.com",
"affiliation": "N",
"address_1": "4000 Long Beach Blvd # 228",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908072617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.