Active NPI
Nancy Sue Rosenbledt, PSY.D.
- Psychologist
- Burlingame, CA
National Provider Identifier
1265612410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 21537
- Practice address
- 1740 Marco Polo Way
Suite 5
Burlingame, CA 94010-4522 - Phone
- (650) 576-3087
- NPI assigned
- Nov 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 21537 | CA | Primary |
Addresses
Primary practice location
1740 Marco Polo Way
Suite 5
Burlingame, CA 94010-4522
Mailing address
272 Bonita Lane
Foster City, CA 94404
Phone (650) 576-3087
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 |
|---|---|---|---|
| PSY 21537 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1265612410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BONITA LANE",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "94404",
"telephone_number": "650-576-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 MARCO POLO WAY",
"address_2": "SUITE 5",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104522",
"telephone_number": "650-576-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLEDT",
"first_name": "NANCY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 21537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.