Active NPI
John George Rosenberg, M.D.
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1003850421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G51461
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51461 | CA | MD | Pharmacist |
| G51461 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Therapy Institute | Psychiatry | Past | Accepting new patients |
| Bay Psychiatric Associates | Psychiatry | Past | 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.
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1427163229
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1255497814
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.