Active NPI
Brooke N. Osborne, PSY.D.
- Psychologist
- Los Altos, CA
National Provider Identifier
1093915415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY25377
- Practice address
- 4966 El Camino Real
Suite 119
Los Altos, CA 94022-1436 - Phone
- (650) 229-8391
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY25377 | CA | Primary |
Addresses
Primary practice location
4966 El Camino Real
Suite 119
Los Altos, CA 94022-1436
Mailing address
4966 El Camino Real
Suite 119
Los Altos, CA 94022-1436
Phone (650) 229-8391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11334 | Other | SFGH INTERNAL USE ONLY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25377 | CA | MD | Psychologist |
| 25377 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Alesandro Larrazabal Martinez MD PC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1649910589
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1093915415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4966 EL CAMINO REAL",
"address_2": "SUITE 119",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221436",
"telephone_number": "650-229-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4966 EL CAMINO REAL",
"address_2": "SUITE 119",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221436",
"telephone_number": "650-229-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "BROOKE",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "11334",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.