ROSANNE MIRANDA


Address: 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232
Phone: (949) 292-4947

ROSANNE MIRANDA (NPI# 1609396472) 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) 1609396472
Entity Type Individual
Full Name ROSANNE MIRANDA
Credential MA
Practice Address 3500 Barranca Pkwy Ste 305
Irvine
CA 92606-8232
Practice Telephone (949) 292-4947
Practice Fax Number 9498722855
Mailing Telephone 9492924947
Mailing Fax Number 9498722855
Enumeration Date 2017-06-22
Last Update Date 2017-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
41068 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3500 BARRANCA PKWY STE 305
City IRVINE
State CA
Zip Code 92606-8232

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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Competitor

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City IRVINE
Zip Code 92606

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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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