Individual provider Active NPI

Elise M. Rossiter, PH.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1164759627
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10396 Issued in CA
Practice address
710 B Palo Alto Ave
Palo Alto, CA 94301
Phone
(650) 325-6208
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10396 CA Primary

Addresses

Primary practice location

710 B Palo Alto Ave
Palo Alto, CA 94301

Mailing address

710 B Palo Alto Ave
Palo Alto, CA 94301
Phone (650) 325-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10396CAMDPsychologist
10396CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1164759627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 B PALO ALTO AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-325-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 B PALO ALTO AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-325-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSITER",
        "first_name": "ELISE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.