Individual provider Active NPI

Cinzia Cottu Di Roccaforte, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1114351418
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32778 Issued in CA
Practice address
1891 Effie St
Los Angeles, CA 90026-1793
Phone
(323) 644-2000
NPI assigned
Aug 23, 2013
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY32778 CA
Clinical Psychologist 103TC0700X PSY32778 CA Primary

Addresses

Primary practice location

1891 Effie St
Los Angeles, CA 90026-1793

Mailing address

321 S Chevy Chase Dr
Glendale, CA 91205-1323
Phone (213) 300-2106

Other practice location 1

10780 Santa Monica Blvd
Los Angeles, CA 90025-4749
Phone (310) 335-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210002463 CA Practitioner - Clinical Psychologist 4385037563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 S Chevy Chase Dr
Glendale, CA 91205-1323
Phone (213) 300-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32778CAMDPsychologist
32778CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cottu Di Roccaforte Inc. Clinical CurrentSince Nov 13, 2024 Accepting new patients
Gateways Hospital & Mental Health Center CurrentSince Mar 31, 2024 Accepting new patients
Best Me Psychotherapy, Inc. Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

11825 Major St
Ste 106
Culver City, CA 90230
Phone (323) 271-1600

11825 Major St
Ste 207
Culver City, CA 90230
Phone (323) 271-1600

1891 Effie St
Los Angeles, CA 90026

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1114351418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051323",
            "telephone_number": "213-300-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 EFFIE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261793",
            "telephone_number": "323-644-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900254749",
            "country_code": "US",
            "telephone_number": "310-335-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTU DI ROCCAFORTE",
        "first_name": "CINZIA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY32778",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.