Amber Shaw Rosenstock

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 22454 Issued in CA

Practice address

11980 San Vicente Blvd Ste 711
Los Angeles, CA 90049-6605

Phone

(310) 949-9267

NPI assigned

Feb 9, 2009

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rosenstock Psychological Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1326871344
  NPD Authorized official

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1609015098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496605",
            "telephone_number": "310-949-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 711",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496605",
            "telephone_number": "310-949-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTOCK",
        "first_name": "AMBER",
        "middle_name": "SHAW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 22454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ellen Rosenman, M.D.
• Sophia Jordan Rosenmoss, MD
• Ilene Carol Rosenstein
• Wendy Susan Rosenstein, MD
• Rosenstock Psychological Corp
• Eliot Austin Rosenstock
• Judith Mara Rosenstock, PH.D.
• Sarah Elizabeth Rosenthal Sherwood, A.C.S.W.
• Blake Katherine Rosenthal
• Cori Rosenthal, MA

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.