Active NPI
Robert Rouault, PSY.D.
- Clinical Psychologist
- Torrance, CA
National Provider Identifier
1215338405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31401
- Practice address
- 25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832 - Phone
- (424) 262-6059
- NPI assigned
- Sep 8, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31401 | CA | Primary |
Addresses
Primary practice location
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Mailing address
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Phone (424) 262-6059
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31401 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Behavioral Partners | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1215338405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-262-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-262-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUAULT",
"first_name": "ROBERT",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.