Kera Glazer-Rosoff, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16120 Issued in CA

Practice address

23564 Calabasas Rd Ste 208
Calabasas, CA 91302-1339

Phone

(818) 835-5012

Fax

(818) 225-8896

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kera Elise Glazer Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1346880283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8215",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728215",
            "telephone_number": "818-835-5012",
            "fax_number": "818-225-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23564 CALABASAS RD STE 208",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021339",
            "telephone_number": "818-835-5012",
            "fax_number": "818-225-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER-ROSOFF",
        "first_name": "KERA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERA",
            "last_name": "GLAZER",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Psychologist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.