Michael D. Rosberg PHD a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY15355 Issued in CA

Legal business name

MICHAEL D. ROSBERG PHD A PSYCHOLOGICAL CORPORATION

Practice address

23622 Calabasas Rd
Suite 151
Calabasas, CA 91302-1549

Phone

(818) 693-5830

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Donetta Jackson, MFT

Title

Administrator

Phone

(323) 318-2520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1508201914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 ENDICOTT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323047",
            "telephone_number": "323-227-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD",
            "address_2": "SUITE 151",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021549",
            "telephone_number": "818-693-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. ROSBERG PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-318-2520",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.