Michael D. Rosberg, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15355 Issued in CA

Practice address

2457 Endicott St
Los Angeles, CA 90032-3047

Phone

(818) 693-5830

NPI assigned

Feb 8, 2007

Last updated

Oct 24, 2011By the provider in NPPES

Sex

Male

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

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

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ASC Treatment GroupGroup PAC ID 8527121375, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ASC Treatment Group

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1003942970
  Medicare reassignment Care Compare group NPD
• ASC Riverside Ranch - River House

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1154536688
  NPD (past) Authorized official
• The ASC Treatment Group

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1023149820
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1700926474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 ENDICOTT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323047",
            "telephone_number": "818-693-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 ENDICOTT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323047",
            "telephone_number": "818-693-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBERG",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Rosas
• Yahaira Rosas
• Yarelly Rosas
• Zhitlaly Rosas
• Charles Rosasco
• Clanae Rosborough
• Rachael Roscoe
• Rose Garden Hospice, Inc.
• Rose Medical Group
• Rose Moon Birth Services LLC

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.