Organization Active NPI

Insight for Wellness

  • Clinical Social Worker
  • San Ramon, CA
National Provider Identifier
1093169161
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18953 Issued in CA
Legal business name
INSIGHT FOR WELLNESS
Practice address
2821 Crow Canyon Rd
Suite 101
San Ramon, CA 94583-1659
Phone
(925) 216-3510
NPI assigned
Apr 14, 2016
Organization subpart
Yes
Parent organization
INSIGHT FOR WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Dr. Katerina Rozakis, LCSW, PHD
Title
Owner
Phone
(925) 216-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS18953 CA Primary

Addresses

Primary practice location

2821 Crow Canyon Rd
Suite 101
San Ramon, CA 94583-1659

Mailing address

2821 Crow Canyon Rd
Suite 101
San Ramon, CA 94583-1659
Phone (925) 216-3510

National Provider Directory

National Provider Directory
Part of
Katerina Rozakis PHD

Locations

2821 Crow Canyon Rd
Ste 101
San Ramon, CA 94583
Phone (510) 999-4410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1093169161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "SUITE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-216-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "SUITE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-216-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT FOR WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSIGHT FOR WELLNESS",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "ROZAKIS",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-216-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.