Organization Active NPI

Rhiana Roque, MD PC

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1972313807
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RHIANA ROQUE, MD PC
Practice address
1055 E Colorado Blvd Ste 500
Pasadena, CA 91106-2371
Phone
(626) 314-1901
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Rhiana Roque, MDNPI 1760645725
Title
Owner and Ceo
Phone
(626) 314-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1055 E Colorado Blvd Ste 500
Pasadena, CA 91106-2371

Mailing address

556 S Fair Oaks Ave Ste 101-458
Pasadena, CA 91105-2656

Other names 1

  • Elite Sport Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

556 S Fair Oaks Ave
Ste 101458
Pasadena, CA 91105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1972313807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE STE 101-458",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 500",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062371",
            "telephone_number": "626-314-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHIANA ROQUE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "RHIANA",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "626-314-1901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Sport Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.