NPIMap

Organization Active NPI

Dr Mary Rolison PHD

Doing business as Mary Rolison, PhD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgan Hill, CA
National Provider Identifier
1013338938
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LCS12823 Issued in CA
Legal business name
DR MARY ROLISON PHD
Doing business as
Mary Rolison, PhD
Practice address
18181 Butterfield Blvd
Morgan Hill, CA 95037-8108
Phone
(408) 513-5107
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Mary D Rolison, PHD, LCSWNPI 1215357298
Title
Owner
Phone
(408) 513-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCS12823 CA
Community/Behavioral Health Agency 251S00000X LCS12823 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LCS12823 CA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LCS12823 CA
Health Maintenance Organization 302R00000X LCS12823 CA
Point of Service 305S00000X LCS12823 CA

Addresses

Primary practice location

18181 Butterfield Blvd
Morgan Hill, CA 95037-8108

Mailing address

2868 Rustic Dr
San Jose, CA 95124-1661
Phone (408) 513-5107

Other names 1

  • Mary Rolison, PhD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1013338938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 RUSTIC DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241661",
            "telephone_number": "408-513-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378108",
            "telephone_number": "408-513-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARY ROLISON PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "ROLISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-513-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCS12823",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS12823",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "LCS12823",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "LCS12823",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "LCS12823",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "LCS12823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Rolison, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.