Roots Psychological Group, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROOTS PSYCHOLOGICAL GROUP, PC

Practice address

3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535

Phone

(562) 471-7710

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Diana Kang, PSY.D

Title

President

Phone

(562) 471-7710

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1396522967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-471-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-471-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PSYCHOLOGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-471-7710",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnies House
• Domonique Hualani Rood
• Karen Roos, PHD, MSPT, ATC
• Roots Addiction & Psychiatry Medical Group, PC
• Roots Addiction and Psychiatry Medical Group, PC
• Roots TMS, LLC
• Roots, Inc.
• Deyanira Roque
• Johanna P Roque
• Ronaldo Violeta Roque, M.D.

• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.