Active NPI
Barney Rosen, PHD
- Psychologist
- Encino, CA
National Provider Identifier
1174077895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 11261
- Practice address
- 15928 Ventura Blvd
Encino, CA 91436-4401 - Phone
- (818) 990-7547
- NPI assigned
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 11261 | CA | Primary |
Addresses
Primary practice location
15928 Ventura Blvd
Encino, CA 91436-4401
Mailing address
15928 Ventura Blvd
Encino, CA 91436-4401
Phone (818) 990-7547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 11261 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1174077895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15928 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364401",
"telephone_number": "818-990-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15928 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364401",
"telephone_number": "818-990-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "BARNEY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.