Organization Active NPI

Thercare

  • Addiction (Substance Use Disorder) Psychologist
  • Los Angeles, CA
National Provider Identifier
1033423538
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
PSY22454 Issued in CA
Legal business name
THERCARE
Practice address
11980 San Vicente Blvd., Suite 711
Los Angeles, CA 90049
Phone
(310) 949-9267
Fax
(310) 826-7823
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Amber Shaw Rosenstock, M.D.R., PH. D.
Title
Psychologist
Phone
(310) 949-9267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TA0400X PSY22454 CA Primary

Addresses

Primary practice location

11980 San Vicente Blvd., Suite 711
Los Angeles, CA 90049

Mailing address

11980 San Vicente Blvd., Suite 711
Los Angeles, CA 90049
Phone (310) 949-9267

National Provider Directory

National Provider Directory

Locations

11980 San Vicente Blvd
Ste 711
Los Angeles, CA 90049
Phone (310) 826-4088

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1033423538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD., SUITE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "310-949-9267",
            "fax_number": "310-826-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD., SUITE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "310-949-9267",
            "fax_number": "310-826-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ROSENSTOCK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-949-9267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.R., PH. D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY22454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.