Individual provider Active NPI

Jamie Rotnofsky, PHD

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1467613166
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 20582 Issued in CA
Practice address
15 W Carrillo St Ste 246
Santa Barbara, CA 93101-8215
Phone
(800) 927-7930
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 20582 CA Primary

Addresses

Primary practice location

15 W Carrillo St Ste 246
Santa Barbara, CA 93101-8215

Mailing address

3463 State St # 156
Santa Barbara, CA 93105-2662
Phone (800) 927-7930

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602001725 CA Practitioner - Clinical Psychologist 6103283312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8527223304, 36 clinicians

Practice addresses (Care Compare)

3390 University Ave
Suite 100
Riverside, CA 92501-3315
Phone (951) 827-7793

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
82.43
Promoting interoperability
100
Improvement activities
40
Cost
65.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 20582CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince May 15, 2023 Accepting new patients
Ucr Health - Psychiatry CurrentSince May 15, 2023 Accepting new patients
University Surgeons of Orange a Medical Group Past Accepting new patients
University of California, Health Riverside PastSince Aug 6, 2019 Accepting new patients

Locations

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

3390 University Ave
Ste 115
Riverside, CA 92501
Phone (844) 827-8000

3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1467613166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 STATE ST # 156",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052662",
            "telephone_number": "800-927-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W CARRILLO ST STE 246",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018215",
            "telephone_number": "800-927-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTNOFSKY",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 20582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.