Active NPI
Leah H Rosenthal, PH.D.
- Counseling Psychologist
- Berkeley, CA
National Provider Identifier
1700228814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY18036
- Practice address
- UC Berkeley CPS Tang Ctr
2222 Bancroft Way
Berkeley, CA 94720-1514 - Phone
- (510) 642-9494
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY18036 | CA | Primary |
Addresses
Primary practice location
UC Berkeley CPS Tang Ctr
2222 Bancroft Way
Berkeley, CA 94720-1514
Mailing address
UC Berkeley CPS Tang Ctr
2222 Bancroft Way
Berkeley, CA 94720-1514
Phone (510) 642-9494
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180219002483 | CA | Practitioner - Clinical Psychologist | 7517228364 | Practice locations: Berkeley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Latham LN
Berkeley, CA 94708-1514
925 The Alameda
Suite 24
Berkeley, CA 94707-2310
Phone (510) 244-1732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18036 | CA | MD | Counseling Psychologist |
| 18036 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1700228814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UC BERKELEY CPS TANG CTR",
"address_2": "2222 BANCROFT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947201514",
"telephone_number": "510-642-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UC BERKELEY CPS TANG CTR",
"address_2": "2222 BANCROFT WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947201514",
"telephone_number": "510-642-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "LEAH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY18036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.