Peter Christopher Roussos, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC34711 Issued in CA

Practice address

4246 Corte Favor
San Diego, CA 92130-2181

Phone

(858) 755-2505

NPI assigned

May 14, 2007

Last updated

Nov 3, 2022By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1427264050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 SUITE A DEL MAR HEIGHTS ROAD",
            "address_2": "BOX 1840",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302122",
            "telephone_number": "858-755-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 CORTE FAVOR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302181",
            "telephone_number": "858-755-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSOS",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly B Rourke, ASW
• Sheri Benshoff Rouse, MFT
• David Victor Rousseau, MD
• Lenora B Rousseau
• Cherie Joanne Roussos, RD, CDE
• Viviana Isabel Rouston
• Alecia Marie Routt, RD
• Hannah Rovazzini, LMFT
• Miguel Alfonso Rovira, MD
• Ulrikke Rovsing

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Nov 3, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.