Nicholas Zingarelli Rosenlicht, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A41891 Issued in CA

Practice address

1569 Solano Ave # 324
Berkeley, CA 94707-2116

Phone

(510) 558-3488

Fax

(855) 558-3489

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nicholas Rosenlicht MD Inc

  • Medical Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1376295022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1265541122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SOLANO AVE # 324",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072116",
            "telephone_number": "510-558-3488",
            "fax_number": "855-558-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SOLANO AVE # 324",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072116",
            "telephone_number": "510-558-3488",
            "fax_number": "855-558-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENLICHT",
        "first_name": "NICHOLAS",
        "middle_name": "ZINGARELLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A41891",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Rae Rosen, M.ED.
• Brian Rosenberg
• John George Rosenberg, M.D.
• Marina Rosenberg, FNP-C
• Nicholas David Rosenberg, LCSW
• Danielle Suzanne Rosenman, M.D.
• Leah H Rosenthal, PH.D.
• Debra Rosett, ANP, PT, CHT
• Pamela Ellen Rosin, MA, LMFT
• Elizabeth Ann Roskey, RADT

• Psychiatry Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.