Patricia J Rose, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

CP8591 Issued in CA

Practice address

7911 Herschel Ave
Suite 400
La Jolla, CA 92037-0075

Phone

(858) 454-5423

Fax

(858) 459-5355

NPI assigned

Aug 18, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Ronald a.Zappone, M.D. , Inc.

  • Adult Mental Health Clinic/Center
  • La Jolla, CA
  • NPI 1376873927
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841304946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 HERSCHEL AVE",
            "address_2": "SUITE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370075",
            "telephone_number": "858-454-5423",
            "fax_number": "858-459-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 HERSCHEL AVE",
            "address_2": "SUITE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370075",
            "telephone_number": "858-454-5423",
            "fax_number": "858-459-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CP8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ronan, PHARMD
• Ain Roost, PH.D.
• Shawn Alexa Rosario
• Brent Shane Rose, M.D.
• Danielle Rose
• Adam S. Rosen, D.O.
• Barbara Rosen, BARBARA
• Jay H. Rosenberg, M.D.
• A. Lyle Rosenfield, M.D.
• Yuki K. Rosenkoetter, PA

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.