Active NPI
Joshua Samuel Rothenberg, PSYD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1346748126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29836
- Practice address
- 1008 General Kennedy Ave Ste 106
San Francisco, CA 94129-1729 - Phone
- (415) 894-5327
- Fax
- (415) 465-7543
- NPI assigned
- Jan 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29836 | CA | Primary |
Addresses
Primary practice location
1008 General Kennedy Ave Ste 106
San Francisco, CA 94129-1729
Mailing address
PO Box 14692
San Francisco, CA 94114-0692
Other practice location 1
25 Edwards Ct Ste 101
Burlingame, CA 94010-2421
Phone (415) 894-5327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29836 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1346748126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14692",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941140692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 GENERAL KENNEDY AVE STE 106",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941291729",
"telephone_number": "415-894-5327",
"fax_number": "415-465-7543"
}
],
"practiceLocations": [
{
"address_1": "25 Edwards Ct Ste 101",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940102421",
"country_code": "US",
"telephone_number": "415-894-5327",
"fax_number": "650-727-0551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHENBERG",
"first_name": "JOSHUA",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.