Individual provider Active NPI

Tracy Elizabeth Rosberg, PH.D.

  • Clinical Psychologist
  • Calabasas, CA
National Provider Identifier
1326259581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16145 Issued in CA
Practice address
23480 Park Sorrento Ste 200B
Calabasas, CA 91302-1306
Phone
(818) 591-3000
NPI assigned
May 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16145 CA Primary

Addresses

Primary practice location

23480 Park Sorrento Ste 200B
Calabasas, CA 91302-1306

Mailing address

23480 Park Sorrento Ste 200B
Calabasas, CA 91302-1306
Phone (818) 591-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 31, 2025 through Jul 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16145CAMDClinical Psychologist
16145CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Fulton, PH.D., a Psychological Association 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.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326259581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23480 PARK SORRENTO STE 200B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021306",
            "telephone_number": "818-591-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23480 PARK SORRENTO STE 200B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021306",
            "telephone_number": "818-591-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBERG",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.