Active NPI
Jennifer Rosenthal, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1366949273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A165487
- Practice address
- 9100 S Sepulveda BLV
Ste 100
Los Angeles, CA 90045 - Phone
- (719) 401-2657
- NPI assigned
- Apr 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0066324 | CO | |
| Psychiatry Physician | 2084P0800X | A165487 | CA | Primary |
Addresses
Primary practice location
9100 S Sepulveda BLV
Ste 100
Los Angeles, CA 90045
Mailing address
13395 Voyager Pkwy
Ste 130 PMB 2077
Colorado Springs, CO 80921
Other practice location 1
11141 Ridgeline Dr
Colorado Springs, CO 80921
Phone (719) 401-2657
Other names 1
- Jennifer Brynne Rosenthal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803000839 | CO | Order and Referring Only - Psychiatry | 6002298387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165487 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1366949273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13395 VOYAGER PKWY",
"address_2": "STE 130 PMB 2077",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 S SEPULVEDA BLV",
"address_2": "STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "719-401-2657"
}
],
"practiceLocations": [
{
"address_1": "11141 Ridgeline Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80921",
"country_code": "US",
"telephone_number": "719-401-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-07",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0066324",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A165487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ROSENTHAL",
"middle_name": "BRYNNE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.