Heidi Jill Rotheim, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 18270 Issued in CA

Practice address

550 S Vermont Ave
Lacdmh, Hgi, 4TH Floor
Los Angeles, CA 90020-1912

Phone

(213) 738-6193

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124184783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12029 GOSHEN AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S VERMONT AVE",
            "address_2": "LACDMH, HGI, 4TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201912",
            "telephone_number": "213-738-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHEIM",
        "first_name": "HEIDI",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason A Rothbart, MD
• Deborah Lieber Rothberg, PH.D
• Jack Rothberg, M.D.
• Michael Vincent Rothberg
• Emerson Rothblatt-Kenney
• Allison Brittany Rothenberg
• Tamar Sofer Rothenberg, RDN
• Mary J Rotheram, PH.D.
• Alan F Rothfeld, MD
• Alexander Emanuel Rothis, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.