Allen Rosenthal, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31635 Issued in CA

Practice address

6678 Chalk Hill LN
Vallejo, CA 94591-3866

Phone

(773) 803-0353

NPI assigned

Aug 31, 2020

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1568076347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5083",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945910508",
            "telephone_number": "773-803-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 CHALK HILL LN",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913866",
            "telephone_number": "773-803-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Elizabeth Rosen
• Rachel E. Rosen, LMFT #101188
• Byron B Rosenberger, CCAPP
• Dorrin B Rosenfeld, DC
• Paisley Tucker Rosengren, LMFT
• David M Ross, PSYD
• Tanika Ross, ASW
• Irene Viktoria Rossman
• Rebecca A. Rossner, MD
• Gina Rossow

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.