Rosemary Puerto, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34241 Issued in CA

Practice address

160 Cedar Pointe Loop Apt 311
San Ramon, CA 94583-4164

Phone

(510) 914-7562

NPI assigned

May 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• La Concordia Psychotherapy and Wellness Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
  • NPI 1154933026

  Psychologist

  NPD
• The Link to Children

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1548468689
  NPD (past)

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1750641189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945837802",
            "telephone_number": "510-914-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CEDAR POINTE LOOP APT 311",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834164",
            "telephone_number": "510-914-7562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Concord Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205608",
            "country_code": "US",
            "telephone_number": "925-849-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 Kerner Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "94901",
            "country_code": "US",
            "telephone_number": "415-473-4274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Franklin St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946122912",
            "country_code": "US",
            "telephone_number": "510-428-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUERTO",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayler Prince
• Estelle Pritchard
• Tanu Priya
• Leasza Provenzano
• Psychology Matters, PC
• Julissa Puga, RN
• Melissa Pulling, M.D.
• Roxanne Puno, CCC-SLP
• Sue Ristow Putnam, O.D.
• Medina Saffa Qasemi

• Clinical Psychologist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.