Thomas Richard Roslak

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108694 Issued in CA

Practice address

1849 Sawtelle Blvd Ste 100
Los Angeles, CA 90025-7007

Phone

(617) 835-6265

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1417573130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 INNES AVE APT 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257007",
            "telephone_number": "617-835-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSLAK",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visna Roshanzadeh, M.D.
• Janet Roshanzamir
• Shantel S Roshell
• Rosita M Rayhan DDS
• Laura Anne Rosko, MSW
• Jack J. Rosner, M.D.
• Jason Rosner, RABBI - MOHEL
• Sharon Rosner, SLP
• Eric Rosoff, M.D.
• Jessie Erica Rosoff, MS, RN, CNSC, CLC

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.