Active NPI
Rosanne Miranda, MA
- Group Psychotherapy Psychologist
- Irvine, CA
National Provider Identifier
1609396472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- 41068
- Practice address
- 3500 Barranca Pkwy Ste 305
Irvine, CA 92606-8232 - Phone
- (949) 292-4947
- Fax
- (949) 872-2855
- NPI assigned
- Jun 22, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | 41068 | CA | Primary |
Addresses
Primary practice location
3500 Barranca Pkwy Ste 305
Irvine, CA 92606-8232
Mailing address
3500 Barranca Pkwy Ste 305
Irvine, CA 92606-8232
Phone (949) 292-4947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41068 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609396472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY STE 305",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068232",
"telephone_number": "949-292-4947",
"fax_number": "949-872-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY STE 305",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068232",
"telephone_number": "949-292-4947",
"fax_number": "949-872-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "ROSANNE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "41068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.