Individual provider Active NPI

John George Rosenberg, M.D.

  • Psychiatry Physician
  • Berkeley, CA
National Provider Identifier
1003850421
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G51461 Issued in CA
Practice address
2417 Carleton St
Berkeley, CA 94704-3310
Phone
(510) 984-7811
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G51461 CA Primary

Addresses

Primary practice location

2417 Carleton St
Berkeley, CA 94704-3310

Mailing address

2893 Buena Vista Way
Berkeley, CA 94708-2015
Phone (510) 984-7811

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drrosenberg@jgrosenbergmd.com
Direct Messaging Address drrosenberg@jgrosenbergmd.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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51461CAMDPharmacist
G51461CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Therapy Institute Psychiatry Past Accepting new patients
Bay Psychiatric Associates Psychiatry PastSince Oct 16, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1003850421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 BUENA VISTA WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947082015",
            "telephone_number": "510-984-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CARLETON ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043310",
            "telephone_number": "510-984-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G51461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrosenberg@jgrosenbergmd.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2417 Carleton St",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947043310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrosenberg@jgrosenbergmd.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2417 Carleton St",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947043310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.