Individual provider Active NPI

Daisy Rosales

  • Marriage & Family Therapist
  • San Fernando, CA
National Provider Identifier
1013394253
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101424 Issued in CA
Practice address
566 S Brand Blvd
San Fernando, CA 91340
Phone
(818) 898-0223
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 101424 CA Primary

Addresses

Primary practice location

566 S Brand Blvd
San Fernando, CA 91340

Mailing address

566 S Brand Blvd
San Fernando, CA 91340-4002

Other practice location 1

15336 Devonshire St Ste 6
Mission Hills, CA 91345-2755
Phone (818) 900-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101424CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creating New Pathways, Inc. Current Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
El Centro de Amistad, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daisyrosales@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1013394253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "818-898-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15336 Devonshire St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913452755",
            "country_code": "US",
            "telephone_number": "818-900-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.