Rochelle Medici, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

CP6942 Issued in CA

Practice address

2220 El Molino PL
San Marino, CA 91108-2317

Phone

(626) 441-3817

Fax

(626) 441-3833

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699845701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 EL MOLINO PL",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082317",
            "telephone_number": "626-441-3817",
            "fax_number": "626-441-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 EL MOLINO PL",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082317",
            "telephone_number": "626-441-3817",
            "fax_number": "626-441-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDICI",
        "first_name": "ROCHELLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "CP6942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Maxwell, M.D.
• Berry L. McCord, M.D.
• Carol Anne McCormick, NP
• Emily Hortenstine McDowell, PA-C
• Brent McMahon, PT
• Medipro Medical Group Inc
• Rita Fogata Mejia, RDN
• Mesa Advantage Medical Group
• Mike Nicholas Milinkovic, CHIROPRACTOR
• Robert M. Miller, PH.D.

• Clinical Neuropsychologist in San Marino, CA
• Providers in San Marino, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.