RAPHAEL D. ROSE (NPI# 1689813941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689813941 |
| Entity Type | Individual |
| Full Name | RAPHAEL D. ROSE |
| Credential | PH.D. |
| Practice Address |
11022 Santa Monica Blvd Ste 250 Los Angeles CA 90025-7573 |
| Practice Telephone | 3108828697 |
| Mailing Telephone | 3108828697 |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
21412 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
21412 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9171 Wilshire Blvd, Penthouse #2, Beverly Hills, CA 902105530 | 3108828697 |
| Street Address |
11022 SANTA MONICA BLVD STE 250 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859318 | Kristine H Johnson | Psychologist | 11022 Santa Monica Blvd Ste 250, Los Angeles, CA 90025-7573 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1538524673 | Jessica A Valluzzi | Psychologist | 924 Westwood Blvd Ste 400, Mailcode: 738546, Los Angeles, CA 90024-2934 | 2015-12-16 |
| 1790027225 | Joseph Rosner Ph.d. A Psychological Corporation | Psychologist | 578 Lorna Ln, Los Angeles, CA 90049-4215 | 2013-03-22 |
| 1609188671 | Daniel Erik Glenn | Psychologist | 760 Westwood Plz Rm B8-257, Los Angeles, CA 90024-5055 | 2010-07-07 |
| 1821310038 | Keeching Judy Ho | Psychologist | 1429 S Bundy Dr Apt 5, Los Angeles, CA 90025-2108 | 2010-02-16 |
| 1740411883 | Norma Jordan Ministries | Psychologist | 4275 Degnan Blvd, Suite 3, Los Angeles, CA 90008-4507 | 2009-08-06 |
| 1396906632 | Marnie Rose Weitzman | Psychologist | 4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537 | 2008-06-19 |
| 1457989436 | Js Stimson Psychological Corporation | Psychologist | 12304 Santa Monica Blvd Ste 215a, Los Angeles, CA 90025-2587 | 2020-03-27 |
| 1801424742 | Sacha Bollas Psyd, Inc. | Psychologist | 1990 S Bundy Dr Ste 320, Los Angeles, CA 90025-5249 | 2020-03-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on RAPHAEL D. ROSE.
| 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.