Individual provider Active NPI

Rosanne Zapp, PSYD

  • Clinical Psychologist
  • Mission Viejo, CA
National Provider Identifier
1669191607
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
17146 Issued in CA
Practice address
27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580
Phone
(562) 431-8822
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17146 CA
Clinical Psychologist 103TC0700X 17146 CA Primary

Addresses

Primary practice location

27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580

Mailing address

27401 Los Altos Ste 120
Mission Viejo, CA 92691-8580

Other practice location 1

216 Trafalgar Ln
San Clemente, CA 92672-5481
Phone (949) 463-0865

Other names 1

  • Roseanne Zapp Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240909001127 CA Practitioner - Clinical Psychologist 5395285142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

27401 Los Altos
Suite 120
Mission Viejo, CA 92691-8580
Phone (562) 431-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY17146CAMDPsychologist
17146CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Jul 26, 2024 Accepting new patients

Locations

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

27401 Los Altos
Ste 120
Mission Viejo, CA 92691
Phone (562) 614-6763

701 S Parker St
Ste 2800
Orange, CA 92868

100 Howe Ave
Ste 170N
Sacramento, CA 95825
Phone (415) 296-5100

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rosannezapp@148377.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1669191607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 LOS ALTOS STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918580",
            "telephone_number": "562-431-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Trafalgar Ln",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926725481",
            "country_code": "US",
            "telephone_number": "949-463-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPP",
        "first_name": "ROSANNE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17146",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "17146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEANNE",
            "last_name": "ZAPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.