Carly Marie Rorem

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100715 Issued in CA

Practice address

1436 Goodrich Blvd
Commerce, CA 90022-5111

Phone

(323) 725-1337

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health and Nursing PCGroup PAC ID 5294151635, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mental Health and Nursing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
  • NPI 1528693579
  Medicare reassignment Care Compare group NPD
• RCMH, Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, CA
  • NPI 1043187776

  Marriage & Family Therapist

  Medicare reassignment NPD
• Renewed Medical Group, a Professional Medical Corporation

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1922785690
  Medicare reassignment NPD
• Renewed Community Mental Health

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1912736026
  NPD
• Coast Medical, PC

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1780435628
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689197063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336 145 N 5TH ST N",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 GOODRICH BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225111",
            "telephone_number": "323-725-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROREM",
        "first_name": "CARLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFTI",
            "identifier": "100715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Romero
• Randy J Romero
• Aldo Hernandes Rondan
• Alejandro Roque
• Charles Roque, P.T.
• Rosa Blue Home Health . LLC
• Rosa Blue Hospice, Inc
• Cinthya Elizabeth Rosales Contreras
• Patricia Rose
• Casandra Ross

• Marriage & Family Therapist in Commerce, CA
• Providers in Commerce, 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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.