Paige Rosebrock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8661 Issued in CA

Practice address

18757 Burbank Blvd
Ste. 125
Tarzana, CA 91356-3375

Phone

(818) 776-9726

Fax

(818) 881-5504

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mark John Souris

  • Clinical Psychologist
  • Tarzana, CA
  • NPI 1215381918
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1225197098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD",
            "address_2": "STE. 125",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563375",
            "telephone_number": "818-776-9726",
            "fax_number": "818-881-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD",
            "address_2": "STE. 125",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563375",
            "telephone_number": "818-776-9726",
            "fax_number": "818-881-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBROCK",
        "first_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Alexis Romero
• Valeria Romo, RADT
• Ronald S Cooperman MD a Medical Corporation
• Afshid Roozrokh, NP
• Julia Christiana Rosa
• Danielle Roseman
• Philip S. Rosen, D.C.
• Benjamin David Rosenberg
• Paul L Rosenberg, M.D.
• Nicole Kessler Rosenson, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.