Individual provider Active NPI

Amber Rose, PSYD

  • Clinical Psychologist
  • Rolling Hills Estates, CA
National Provider Identifier
1023255999
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
19471 Issued in CA
Practice address
609 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-3629
Phone
(949) 514-5825
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 19471 CA Primary

Addresses

Primary practice location

609 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-3629

Mailing address

668 N Coast Hwy
Suite 286
Laguna Beach, CA 92651-1513
Phone (949) 514-5825

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1023255999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N COAST HWY",
            "address_2": "SUITE 286",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511513",
            "telephone_number": "949-514-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 DEEP VALLEY DR",
            "address_2": "SUITE 200",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743629",
            "telephone_number": "949-514-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "19471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.