Kerri Katherine Kalivas Rouse, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

44505 Issued in AZ

Practice address

7510 E 1St St
Scottsdale, AZ 85251-4502

Phone

(480) 941-7229

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kerri Katherine Kalivas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 22, 2015 through Dec 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1386811636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 E 1ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514502",
            "telephone_number": "480-941-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 E 1ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514502",
            "telephone_number": "480-941-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "KERRI",
        "middle_name": "KATHERINE KALIVAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "44505",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "KALIVAS",
            "middle_name": "KATHERINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Roubos, OD
• Farshad Rouhani, DMD
• Robert Ramtin Rouhani, D.D.S
• Mazen Roumia, MD
• Tamara Elizabeth Rounds, MSW
• Kristen Rouse, PT
• Rebecca Roush, DC
• Madelyn Rousku, M.D.
• Jarrod D Roussel, PA.-C
• Lori Rae Roust, M.D.

• Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.