JEANINE ANN ROOSE (NPI# 1306311006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306311006 |
| Entity Type | Individual |
| Full Name | JEANINE ANN ROOSE |
| Credential | PH.D. |
| Practice Address |
4941 Wilkinson Ave. Ste. A Valley Village CA 91607 |
| Practice Telephone | 8189906150 |
| Practice Fax Number | 8187637030 |
| Mailing Telephone | 8189906150 |
| Mailing Fax Number | 8187637030 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY5489 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4941 WILKINSON AVE. STE. A |
| City | VALLEY VILLAGE |
| State | CA |
| Zip Code | 91607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1952926552 | Lisa Porter, Family Counselor, Inc | Marriage & Family Therapist | 4721 Laurel Canyon Blvd. Ste #200, Studio City, CA 91607 | 2020-06-10 |
| 1508488362 | Agm Rx Inc | Pharmacy | 12043 Riverdside Dr, Valley Village, CA 91607 | 2020-05-14 |
| 1275179327 | Go To Pharmacy Inc | Pharmacy | 5961 Laurel Canyon Ave #2, North Hollywood, CA 91607 | 2019-11-25 |
| 1689224545 | Canyon Rx Inc | Pharmacy | 12117 Magnolia Blvd, Valley Village, CA 91607 | 2019-09-12 |
| 1790250942 | Janine Castagnetti | Speech-Language Pathologist | 5825 Radford Ave, Valley Village, CA 91607 | 2018-10-03 |
| 1871007724 | Valley Village Home Care Inc | Home Health | 5940 1/2 Laurel Canyon Blvd, Valley Village, CA 91607 | 2017-11-29 |
| 1740705185 | Archwood Care 2 | Intermediate Care Facility, Mentally Retarded | 12523 Califa St, Valley Village, CA 91607 | 2017-08-07 |
| 1932653664 | American Institute of Addiction Medicine | Substance Abuse Rehabilitation Facility | 12400 W Magnolia Blvd, Valley Village, CA 91607 | 2016-08-10 |
| 1891151312 | Shira Levine | Occupational Therapist | 12626 Burbank Blvd #108, Los Angeles, CA 91607 | 2016-01-13 |
| Find all providers in zip 91607 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134781313 | Rande Dorn | Psychologist | 12722 Riverside Dr Ste 104, Valley Village, CA 91607-3369 | 2019-07-08 |
| 1225563729 | Bryce Mcdavitt | Psychologist | 11935 Kling St Apt 9, Valley Village, CA 91607-5406 | 2017-04-22 |
| 1558695049 | Shully Salman | Psychologist | 12301 Califa St, Valley Village, CA 91607-1106 | 2009-09-30 |
| 1033255740 | Karen E Lenier | Psychologist | 12840 Riverside Drive, Suite 200, Valley Village, CA 91607 | 2007-01-29 |
| 1558372136 | Ronald Louis Kaufman | Psychologist | 12501 Chandler Blvd, 102, Valley Village, CA 91607-1941 | 2006-08-10 |
| 1780693887 | Jeannine Lemare Calaba | Psychologist | 4820 Gentry Ave, Valley Village, CA 91607-3711 | 2006-08-07 |
| 1043224959 | Pro Psych Services Inc | Psychologist | 12501 Chandler Blvd Ste 102, Valley Village, CA 91607-1955 | 2006-07-28 |
| 1639106461 | Anna Levi | Psychologist | 12658 Tiara St # 1, Valley Village, CA 91607 | 2006-06-27 |
| 1336640226 | Madeleine Leake | Psychologist | 12501 Chandler Blvd Ste 102, Valley Village, CA 91607-1955 | 2018-02-26 |
| 1619412194 | Shully Salman Psyd A Psychological Corp | Psychologist | 12301 Califa St, Valley Village, CA 91607-1106 | 2016-12-20 |
| Find all providers in VALLEY VILLAGE | ||||
| City | VALLEY VILLAGE |
| Zip Code | 91607 |
Please comment or provide details below to improve the information on JEANINE ANN ROOSE.
| 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.