Frederick Gene Rozendal, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10271 Issued in CA

Practice address

411 Bolling Cir
Novato, CA 94949-4548

Phone

(415) 272-4424

Fax

(415) 506-4018

NPI assigned

Jul 9, 2006

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

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

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1497788772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BOLLING CIR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949494548",
            "telephone_number": "415-272-4424",
            "fax_number": "415-506-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BOLLING CIR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949494548",
            "telephone_number": "415-272-4424",
            "fax_number": "415-506-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENDAL",
        "first_name": "FREDERICK",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Rosser, MFT
• Hayley Rose Rostek
• Stellar J Rourk
• Christie Rovira
• Elissa Roy
• Elsa Abigail Rubenstein
• Haylie Rubin
• Karee Rubinstein Wallach, MA, LCPC, LPCC
• Kelli Elizabeth Rugani, FNP
• Diego Joel Ruiz Madera

• Clinical Psychologist in Novato, CA
• Providers in Novato, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.