Active NPI
Mariela Rosina Gorosito, PSY.D.
- Psychologist
- Long Beach, CA
National Provider Identifier
1700928470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB33234
- Practice address
- 4335 Atlantic Ave
Long Beach, CA 90807-2803 - Phone
- (562) 216-4900
- Fax
- (562) 216-4900
- NPI assigned
- Feb 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB33234 | CA | Primary |
Addresses
Primary practice location
4335 Atlantic Ave
Long Beach, CA 90807-2803
Mailing address
4335 Atlantic Ave
Long Beach, CA 90807-2803
Phone (562) 216-4900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB33234 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1700928470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4335 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072803",
"telephone_number": "562-216-4900",
"fax_number": "562-216-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072803",
"telephone_number": "562-216-4900",
"fax_number": "562-216-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOROSITO",
"first_name": "MARIELA",
"middle_name": "ROSINA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB33234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.