Individual provider Active NPI

Steve Rockman, PSYCHOLOGIST

  • Clinical Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1124125414
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14623 Issued in CA
Practice address
30001 Ivy Glenn Drive
107
Laguna Niguel, CA 92677
Phone
(949) 230-9602
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14623 CA
Clinical Psychologist 103TC0700X PSY14623 CA Primary

Addresses

Primary practice location

30001 Ivy Glenn Drive
107
Laguna Niguel, CA 92677

Mailing address

28241 Crown Valley Pkwy
F435
Laguna Niguel, CA 92677-4441
Phone (949) 230-9602

Other names 1

  • Stephen Rockman Other name

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
I20110429000360 CA Practitioner - Clinical Psychologist 3274718606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30011 Ivy Glenn Dr
Laguna Niguel, CA 92677-5014
Phone (949) 230-9602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY14623CAMDPsychologist
14623CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockman Family Counseling Clinical CurrentSince Mar 14, 2011 Accepting new patients

Locations

28241 Crown Valley Pkwy
Ste F435
Laguna Niguel, CA 92677

28241 Crown Valley Pkwy
Ste F45
Laguna Niguel, CA 92677

30011 Ivy Glenn Dr
Laguna Niguel, CA 92677
Phone (949) 230-1169

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1124125414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY",
            "address_2": "F435",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-230-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30001 IVY GLENN DRIVE",
            "address_2": "107",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-230-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKMAN",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14623",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "ROCKMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.