Roxanne Prilutsky, PH.D., a Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25879 Issued in CA

Legal business name

ROXANNE PRILUTSKY, PH.D., A PSYCHOLOGY CORPORATION

Practice address

630 S Raymond Ave
Suite 310
Pasadena, CA 91105-3278

Phone

(626) 765-3518

Fax

(626) 765-3532

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Roxanne Prilutsky, PH.D.NPI 1790809499

Title

President

Phone

(626) 765-3518

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxanne Prilutsky, PH.D.

  • Clinical Psychologist
  • Burbank, CA
  • NPI 1790809499
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384646400000",
    "number": "1215365747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011311",
            "telephone_number": "818-257-4801",
            "fax_number": "626-765-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-765-3518",
            "fax_number": "626-765-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE PRILUTSKY, PH.D., A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-11-17",
        "status": "A",
        "authorized_official_last_name": "PRILUTSKY",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-765-3518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lyndon Rowady, M.D.
• Tina A Rowe, PSS
• Neil Patrick Rowen
• Rowi Pasadena LLC (ROWI Pasadena, Inc.)
• Lisa Kathleen Rowlett, MA, CCC-SLP
• Roy Harper Jackson M D Inc (Health Care Institute Medical Group)
• Alanah Caitlin Roy, LCSW
• Bria Royal
• Wonishia Tiffany Royal
• Daniel Royce

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.