Active NPI
Maryann Rosenthal, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1174564561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 17262
- Practice address
- 1551 Union St Unit 808
San Diego, CA 92101 - Phone
- (801) 232-2124
- NPI assigned
- Jun 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 17262 | CA | Primary |
Addresses
Primary practice location
1551 Union St Unit 808
San Diego, CA 92101
Mailing address
1551 Union St Unit 808
San Diego, CA 92101-3444
Phone (801) 232-2124
Other practice location 1
2815 E 3300 S
Slc, UT 84109-2820
Phone (801) 232-2124
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensoryworks,LLC | Current | Accepting new patients |
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.
-
- Occupational Therapist
- Midvale, UT
- NPI 1316489214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1174564561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 UNION ST UNIT 808",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013444",
"telephone_number": "801-232-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 UNION ST UNIT 808",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92101",
"telephone_number": "801-232-2124"
}
],
"practiceLocations": [
{
"address_1": "2815 E 3300 S",
"address_purpose": "LOCATION",
"city": "Slc",
"state": "UT",
"postal_code": "841092820",
"country_code": "US",
"telephone_number": "801-232-2124",
"fax_number": "801-232-2124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "MARYANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "17262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Shelly Rosenthal Kleiman, PT
- Dominique Marie-Therese Rosenthal
- Gabriella Regina Rosenthal, NP
- Jami Datnow Rosenthal, LMFT
- Jonathan Ben Rosenthal, M.D.
- Murray H Rosenthal, D.O., FAPA
- Sara G Rosenthal, M.D.
- Douglas Ryan Rosentrater, OTR/L
- Marlene L Rosenwald-Becker, NP
- Kim Christine Roser-Kedward, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.