Lilly Rousseva-Stoyanova, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27742 Issued in CA

Practice address

10850 Wilshire Blvd Ste 1260
Los Angeles, CA 90024-4337

Phone

(310) 804-3563

NPI assigned

Dec 9, 2018

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

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1962973461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244337",
            "telephone_number": "310-804-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244337",
            "telephone_number": "310-804-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEVA-STOYANOVA",
        "first_name": "LILLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Rouman, APRN BC
• Emily Rourke
• Latranae Kenyette Rouse
• Jared Frederick Roush, PH.D.
• Fareeda Roushdy
• Kristina Celani Rousso, AU.D.
• Evanthia Roussos Torres, M.D.
• Alyson Roux, MS, CNS
• Michael Roux
• Javan Rouzan

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.