Individual provider Active NPI

Marjaneh Rouhani, MD

  • Psychiatry Physician
  • Rancho Mirage, CA
National Provider Identifier
1740476621
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C140058 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 837-8767
Fax
(760) 837-8806
NPI assigned
Sep 24, 2007
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301075575 MI
Psychiatry Physician 2084P0800X C140058 CA Primary
Geriatric Psychiatry Physician 2084P0805X C140058 CA

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 837-8767

Other practice location 1

300 Country Pine Lane
Battle Creek, MI 49015-4176
Phone (269) 969-6108

Other practice location 2

204 S Beverly Dr Ste 111
Beverly Hills, CA 90212-3800
Phone (424) 777-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080201000442 MI Practitioner - Psychiatry 1759463466 Reassigns benefits to 2 organizations
I20241205003866 CA Practitioner - Psychiatry 1759463466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

300 Country Pine LN
Battle Creek, MI 49015-4176
Phone (269) 317-1948

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

751 Kenmoor Ave SE
Grand Rapids, MI 49546-2388
Phone (616) 977-1770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C140058CAMDPsychiatry Physician
4301075575MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Current Accepting new patients
Havenwyck Hospital Inc Psychiatry Current Accepting new patients
Havenwyck Hospital Inc CurrentSince Feb 1, 2018 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Solace Psychiatry, Apc CurrentSince Jun 23, 2024 Accepting new patients
Summit Pointe Psychiatry Past Accepting new patients

Locations

204 S Beverly Dr
Ste 111
Beverly Hills, CA 90212
Phone (424) 777-0282

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

1525 University Dr
Auburn Hills, MI 48326
Phone (248) 371-2200

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

Interoperability endpoints

  • Direct secure messaging: rouhani@bhc.direct.emds.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1740476621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-837-8767",
            "fax_number": "760-837-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-837-8767",
            "fax_number": "760-837-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Country Pine Lane",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490154176",
            "country_code": "US",
            "telephone_number": "269-969-6108",
            "fax_number": "269-969-8732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 S Beverly Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902123800",
            "country_code": "US",
            "telephone_number": "424-777-0282",
            "fax_number": "424-777-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "MARJANEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301075575",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C140058",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "C140058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.