DR. JUDITH MARA ROSENSTOCK


Address: 566 S San Vicente Blvd, #101, Los Angeles, CA 90048-4650
Phone: 3236535279

DR. JUDITH MARA ROSENSTOCK (NPI# 1154477347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154477347
Entity Type Individual
Full Name DR. JUDITH MARA ROSENSTOCK
Credential PH.D.
Practice Address 566 S San Vicente Blvd
#101
Los Angeles
CA 90048-4650
Practice Telephone 3236535279
Mailing Telephone 3236535279
Enumeration Date 2007-01-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY5990 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PSYCHOLOGIST PSY5990 01

Office Location

Street Address 566 S SAN VICENTE BLVD
#101
City LOS ANGELES
State CA
Zip Code 90048-4650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164405916 Johanna Schor Psychologist 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 2005-11-25
1689213985 Danielle Tuohy Psychologist 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 2020-01-03
1477957579 Nora A Oconnor Social Worker 566 S San Vicente Blvd, 102, Los Angeles, CA 90048-4650 2014-10-17
1578964243 Emma Bogdanoff, Mft Community/Behavioral Health 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 2014-09-11
1770993305 Joey Shanley Social Worker 566 S San Vicente Blvd, Ste. 102, Los Angeles, CA 90048-4650 2014-05-05
1396172342 Rick Deaton, Psy.d., A Professional Psychology Corporation Specialist 566 S San Vicente Blvd, Suite 201, Los Angeles, CA 90048-4650 2013-10-07
1285981654 Shari Lynn Saperstein Marriage & Family Therapist 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 2012-08-05
1639485493 Martha Hanna Johnson Psychologist 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 2010-08-30
1407065089 Richard Joel Goldberg Social Worker 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 2007-05-21
1578770228 Linda Lee Lasater Psychologist 566 S San Vicente Blvd, Suite 101, Los Angeles, CA 90048-4650 2007-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609473420 Alden Advanced Surgicenter LLC Clinic/Center 8741 Alden Drive, Suite B, Los Angeles, CA 90048 2020-10-05
1760090062 New Dawn Tms Psychiatry Clinic/Center 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 2020-07-22
1114547312 Savannah Marie Gonzales Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 2020-04-17
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1295202638 Caleb Rogers Penn Anesthesiology Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 2018-10-24
1437641727 Medical Imaging Center of Southern California-beverly Hills, Inc Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1689164121 Maulin Shah Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 2018-05-10
1013423631 Abdul Ali Qaderi Anesthesiology 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 2017-12-19
1619483559 Sakeenah Hakim Social Worker 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 2017-12-14
1851805048 West Hollywood Medical Group Inc General Practice 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 2017-11-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720698400 Richard Romanoff Psychologist 10780 Santa Monica Blvd Ste 460, Los Angeles, CA 90025-7635 2020-08-06
1003425869 Reynaldo Vargas Jr. Psychologist 8811 Mary Ave, Los Angeles, CA 90002-1244 2020-07-28
1700404647 Joshua Lawrence Mirmelli Psychologist 11340 W Olympic Blvd Ste 305, Los Angeles, CA 90064-1630 2020-07-08
1740820240 Aaron Efron Berger Psychologist 11980 San Vicente Blvd Ste 710, Los Angeles, CA 90049-6605 2020-01-13
1538715743 Nicole Hayes Psychologist Ucla John Wooden West #9511556, Los Angeles, CA 90095-0001 2019-08-13
1992360853 Barry Bernfeld Psychologist 10530 Santa Monica Blvd, Los Angeles, CA 90025-4951 2019-05-07
1700362449 Noah Laracy Psychologist 1810 S Beverly Drive, Suite 401, Los Angeles, CA 90035-1156 2018-07-16
1386139087 Acacia Psychological Corporation Psychologist 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 2018-06-25
1164911418 William James Coburn Psychologist 12011 San Vicente Blvd Ste 300, Los Angeles, CA 90049-4945 2018-05-02
1932603081 Adam Wiswell Psychologist 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 2018-03-22
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Competitor

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City LOS ANGELES
Zip Code 90048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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