Elizabeth Lee Rosenblatt, PSYD, a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21110 Issued in CA

Legal business name

ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION

Practice address

12405 Venice Blvd
124
Los Angeles, CA 90066-3803

Phone

(310) 502-1162

Fax

(866) 485-1162

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Elizabeth Lee Rosenblatt, PSYD

Title

Owner

Phone

(310) 502-1162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Yoshida, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1225155732
  NPD

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1053618314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 VENICE BLVD",
            "address_2": "124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663803",
            "telephone_number": "310-502-1162",
            "fax_number": "866-485-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 VENICE BLVD",
            "address_2": "124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663803",
            "telephone_number": "310-502-1162",
            "fax_number": "866-485-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LEE ROSENBLATT, PSYD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-502-1162",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth a. Reyes, PH.D.
• Elizabeth Christensen & Associates, Inc
• Elizabeth Folie Marriage and Family Therapist
• Elizabeth J. Covington MD, Inc
• Elizabeth Karp, PH.D., a Psychological Corporation
• Elizabeth Rosner Psychiatry Inc
• Evelyn Elizalde
• Genesis Elizalde
• Patricia Elizalde, LVN
• Tiffany Marie Elizalde, FNP-BC

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.