Korlany Chhun Roche, PSYD, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87271 Issued in CA

Practice address

12779 Thornberg Way
Rancho Cordova, CA 95742-7800

Phone

(916) 997-2303

NPI assigned

Aug 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1679821664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12779 THORNBERG WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427800",
            "telephone_number": "916-997-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12779 THORNBERG WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427800",
            "telephone_number": "916-997-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "KORLANY",
        "middle_name": "CHHUN",
        "name_prefix": "Dr.",
        "credential": "PSYD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "#87271",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise & Thrive Transitional Living LLC
• River City Medical Group, Inc.
• Deborah Corinne Roberts, LCSW
• Stephanie Roberts, M.D.
• Trevor M Roberts, MPT
• Adriana Paige Rodarte
• Tomasz Rodkiewicz, MD
• Alma Rodriguez
• Romeo Rodriguez
• Andrew Roeser

• Marriage & Family Therapist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.