Individual provider Active NPI

Rachel Rosenfeld

  • Psychologist
  • Pinole, CA
National Provider Identifier
1932380235
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
668 Quinan St
Pinole, CA 94564-1621
Phone
(510) 741-7286
NPI assigned
Nov 15, 2007
Last updated
Oct 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

668 Quinan St
Pinole, CA 94564-1621

Mailing address

668 Quinan St
Pinole, CA 94564-1621
Phone (510) 741-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25317CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Codependency Psychotherapy Clinic CurrentSince Jan 19, 2020 Accepting new patients
The Family Institute of Richmond Past Accepting new patients
Family Institute of Pinole Past Accepting new patients

Locations

1926 Park St
Ste 2
Alameda, CA 94501
Phone (858) 922-7337

Organizations & group practices 3

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1932380235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 QUINAN ST",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641621",
            "telephone_number": "510-741-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 QUINAN ST",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641621",
            "telephone_number": "510-741-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.