Active NPI
Hazel Siojo Rosete, PSY.D.
- Psychologist
- Portland, OR
National Provider Identifier
1699257600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3198
- Practice address
- 847 NE 19TH Ave Ste 150
Portland, OR 97232-2686 - Phone
- (971) 279-5407
- NPI assigned
- Sep 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 3198 | OR | |
| Psychologist | 103T00000X | 3198 | OR | Primary |
Addresses
Primary practice location
847 NE 19TH Ave Ste 150
Portland, OR 97232-2686
Mailing address
847 NE 19TH Ave Ste 150
Portland, OR 97232-2686
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1699257600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322686",
"telephone_number": "971-279-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSETE",
"first_name": "HAZEL",
"middle_name": "SIOJO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OR",
"license": "3198",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.