Active NPI
Roxanne Marie Rassti, M.S.
- Psychologist
- Atascadero, CA
National Provider Identifier
1902153604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27489
- Practice address
- 10333 El Camino Real
Department of State Hospitals - Atascadero
Atascadero, CA 93422-5808 - Phone
- (805) 468-3059
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY27489 | CA | Primary |
Addresses
Primary practice location
10333 El Camino Real
Department of State Hospitals - Atascadero
Atascadero, CA 93422-5808
Mailing address
9347 Jornada LN
Apt 7
Atascadero, CA 93422-5825
Phone (417) 766-6853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27489 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1902153604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9347 JORNADA LN",
"address_2": "APT 7",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225825",
"telephone_number": "417-766-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 EL CAMINO REAL",
"address_2": "DEPARTMENT OF STATE HOSPITALS - ATASCADERO",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225808",
"telephone_number": "805-468-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASSTI",
"first_name": "ROXANNE",
"middle_name": "MARIE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.