Ben Ross, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32948 Issued in CA

Practice address

1601 Dove St Ste 100
Newport Beach, CA 92660-2410

Phone

(949) 298-5561

NPI assigned

Dec 18, 2019

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 2, 2021 through Nov 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Straight Talk Clinic, Inc.

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1396804225
  NPD (past)
• Straight Talk Clinic, Inc.

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1578690574
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1760020911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602410",
            "telephone_number": "949-298-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602410",
            "telephone_number": "949-298-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Rosenstrauch, PH.D.
• Alyssa Rosenthal
• Rosh OB-GYN Ultrasound of Ca P.C.
• James H. Rosing, MD
• Amanda Ross
• Jeremiah Ross
• Kathryn A Ross, M.D.
• Sarah Ross
• Joan Marie Rost, CRNFA
• Kristin Rosten, MA

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, 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 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.