Individual provider Active NPI

Roslyn Sanchez, PH.D.

  • Clinical Psychologist
  • Gaithersburg, MD
National Provider Identifier
1891944419
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23510 Issued in CA
Practice address
707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983
Phone
(301) 913-4400
NPI assigned
Sep 18, 2008
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23510 CA Primary

Addresses

Primary practice location

707 Conservation LN Ste 300
Gaithersburg, MD 20878-2983

Mailing address

14552 Garden Rd
Poway, CA 92064-5126
Phone (301) 913-4400

Other practice location 1

2801 Meadow Lark Dr
San Diego, CA 92123-2709
Phone (619) 671-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218004086 CA Practitioner - Clinical Psychologist 7315432101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11470 Azucena Dr
San Diego, CA 92124-2822

14552 Garden Rd
Poway, CA 92064-5126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY23510CAMDClinical Psychologist
23510CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Life Solutions LLC Clinical CurrentSince Oct 4, 2025 Accepting new patients

Locations

707 Conservation Ln
Ste 300
Gaithersburg, MD 20878
Phone (240) 801-5513

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1891944419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14552 GARDEN RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645126",
            "telephone_number": "301-913-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CONSERVATION LN STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782983",
            "telephone_number": "301-913-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Meadow Lark Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232709",
            "country_code": "US",
            "telephone_number": "619-671-6530",
            "fax_number": "619-671-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ROSLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.