B. Annye Rothenberg, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY3435 Issued in CA

Practice address

3943 Jefferson Ave.
Emerald Hills, CA 94062

Phone

(650) 364-4466

Fax

(650) 364-2299

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1376081166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 JEFFERSON AVE.",
            "city": "EMERALD HILLS",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-364-4466",
            "fax_number": "650-364-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 JEFFERSON AVE.",
            "city": "EMERALD HILLS",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-364-4466",
            "fax_number": "650-364-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "B.",
        "middle_name": "ANNYE",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Lillie, PH.D.
• Meridian Medical (Emont Medicine)
• Lilly Morrison
• Jamie Mueller, RN, BSN, IBCLC
• Roopa Rayadurg
• Stephanie Lynn Tambe
• Daria Vinogradova
• Beth Anne Walton, MFT

• Clinical Child & Adolescent Psychologist in Emerald Hills, CA
• Providers in Emerald Hills, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.