Active NPI
Denise Arana Loubriel, PH.D.
- Psychologist
- Santa Rosa, CA
National Provider Identifier
1417096033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 22400
- Practice address
- 1260 N Dutton Ave Ste 185
Santa Rosa, CA 95401-7146 - Phone
- (650) 468-4453
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 22400 | CA | Primary |
Addresses
Primary practice location
1260 N Dutton Ave Ste 185
Santa Rosa, CA 95401-7146
Mailing address
1260 N Dutton Ave Ste 185
Santa Rosa, CA 95401-7146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140729001451 | CA | Practitioner - Clinical Psychologist | 6204052129 | Practice locations: Santa Rosa, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22400 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1417096033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 N DUTTON AVE STE 185",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 N DUTTON AVE STE 185",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017146",
"telephone_number": "650-468-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANA LOUBRIEL",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 22400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.