Individual provider Active NPI

Rose Woo Dale, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1992956759
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13839 Issued in CA
Practice address
16 S Oakland Ave
Suite 214
Pasadena, CA 91101-2043
Phone
(626) 568-3858
Fax
(626) 441-6058
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 PSY13839 CA Primary

Addresses

Primary practice location

16 S Oakland Ave
Suite 214
Pasadena, CA 91101-2043

Mailing address

16 S Oakland Ave Ste 214
Pasadena, CA 91101-2042
Phone (626) 568-3858

Other names 1

  • Rose Woo Former name

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
I20191119001383 CA Practitioner - Clinical Psychologist 8224460936 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 S Oakland Ave
Suite 214
Pasadena, CA 91101-2042
Phone (626) 568-3858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY13839CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Woo Psychologists Inc CurrentSince Nov 24, 2019 Accepting new patients

Locations

16 S Oakland Ave
Ste 214
Pasadena, CA 91101
Phone (626) 568-3858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1992956759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S OAKLAND AVE STE 214",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012042",
            "telephone_number": "626-568-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S OAKLAND AVE",
            "address_2": "SUITE 214",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012043",
            "telephone_number": "626-568-3858",
            "fax_number": "626-441-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ROSE",
        "middle_name": "WOO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "WOO",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.