Active NPI
Filomena R Rebelo, PHD
- Clinical Psychologist
- San Luis Obispo, CA
National Provider Identifier
1255398871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23877
- Practice address
- 3220 S Higuera St
Suite 205
San Luis Obispo, CA 93401-6998 - Phone
- (805) 541-5055
- Fax
- (805) 541-5075
- NPI assigned
- Apr 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0666 | KY | |
| Clinical Psychologist | 103TC0700X | 23877 | CA | Primary |
Addresses
Primary practice location
3220 S Higuera St
Suite 205
San Luis Obispo, CA 93401-6998
Mailing address
3220 S Higuera St
Suite 205
San Lusi Obispo, CA 93401-6998
Phone (805) 541-5055
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 |
|---|---|---|---|
| 0666 | KY | MD | Clinical Social Worker |
| 23877 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1255398871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 S HIGUERA ST",
"address_2": "SUITE 205",
"city": "SAN LUSI OBISPO",
"state": "CA",
"postal_code": "934016998",
"telephone_number": "805-541-5055",
"fax_number": "805-541-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 S HIGUERA ST",
"address_2": "SUITE 205",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016998",
"telephone_number": "805-541-5055",
"fax_number": "805-541-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBELO",
"first_name": "FILOMENA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0666",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.