Active NPI
Nina T Rodd, PH.D.
- Clinical Neuropsychologist
- Rolling Hills Estates, CA
National Provider Identifier
1386824993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY16624
- Practice address
- 609 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-3629 - Phone
- (310) 378-7172
- Fax
- (310) 541-9308
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- 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 Neuropsychologist | 103G00000X | PSY16624 | CA | Primary |
Addresses
Primary practice location
609 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-3629
Mailing address
609 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-3629
Phone (310) 378-7172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16624 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1386824993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 DEEP VALLEY DR",
"address_2": "SUITE 200",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743629",
"telephone_number": "310-378-7172",
"fax_number": "310-541-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 DEEP VALLEY DR",
"address_2": "SUITE 200",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743629",
"telephone_number": "310-378-7172",
"fax_number": "310-541-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODD",
"first_name": "NINA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY16624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Hills Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.