Active NPI
Rosalie Smith
- Marriage & Family Therapist
- Sunnyvale, CA
National Provider Identifier
1457630873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1515 Partridge Ave
Sunnyvale, CA 94087-4952 - Phone
- (408) 716-8101
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1515 Partridge Ave
Sunnyvale, CA 94087-4952
Mailing address
1046 N Abbott Ave
Milpitas, CA 95035-2933
Phone (408) 766-0265
Other practice location 1
660 S Fair Oaks Ave
Sunnyvale, CA 94086-7913
Phone (408) 992-4800
Other practice location 2
2680 Bayshore Pkwy Ste 106
Mountain View, CA 94043-1018
Phone (650) 387-0145
Other names 1
- Rosalie Bergen
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse of Hope Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Sunnyvale, CA
- NPI 1649337338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457630873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 N ABBOTT AVE",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950352933",
"telephone_number": "408-766-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PARTRIDGE AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874952",
"telephone_number": "408-716-8101"
}
],
"practiceLocations": [
{
"address_1": "660 S Fair Oaks Ave",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "940867913",
"country_code": "US",
"telephone_number": "408-992-4800",
"fax_number": "408-992-4801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2680 Bayshore Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940431018",
"country_code": "US",
"telephone_number": "650-387-0145",
"fax_number": "650-387-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ROSALIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSALIE",
"last_name": "BERGEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.