Active NPI
Rosmeri Marin Guerrero, PSY.D.
- Clinical Psychologist
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31236
- Practice address
- 6851 Lennox Ave Ste 100
Van Nuys, CA 91405-4076 - Phone
- (818) 739-5400
- Fax
- (818) 442-0290
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY31236 | CA | Primary |
Addresses
Primary practice location
6851 Lennox Ave Ste 100
Van Nuys, CA 91405-4076
Mailing address
12140 Allin St
Culver City, CA 90230-5805
Phone (310) 895-4624
Other practice location 1
18646 Oxnard St
Tarzana, CA 91356-1411
Phone (818) 654-3908
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12021 S Wilmington Ave
BLDG 18 Suite 4D
Los Angeles, CA 90059-3019
Phone (213) 819-7243
12021 Wilmington Ave
BLDG 18 Suite 4D
Los Angeles, CA 90059-3019
Phone (424) 454-5425
1720 E 120TH St
Los Angeles, CA 90059-3097
Phone (310) 668-4803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31236 | CA | MD | Clinical Psychologist |
| 31236 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
12021 Wilmington Ave
Fl 2
Los Angeles, CA 90059
Phone (424) 454-5000
1720 E 120th St
Los Angeles, CA 90059
Phone (310) 668-4272
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1487687018
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1164836672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140 ALLIN ST",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305805",
"telephone_number": "310-895-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 LENNOX AVE STE 100",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054076",
"telephone_number": "818-739-5400",
"fax_number": "818-442-0290"
}
],
"practiceLocations": [
{
"address_1": "18646 Oxnard St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913561411",
"country_code": "US",
"telephone_number": "818-654-3908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIN GUERRERO",
"first_name": "ROSMERI",
"name_prefix": "Miss",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.