DR. MINDY SUSAN ROSENBERG PH.D. NPI 1679793418

NPI Information

  • NPI: 1679793418
  • Provider Name: DR. MINDY SUSAN ROSENBERG, PH.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 1505 BRIDGEWAY STE 105
    SAUSALITO, CA
    ZIP 94965
  • Phone: (415) 491-1879

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NPI Details

DR. Mindy Susan Rosenberg, PH.D. is a clinical child and adolescent psychologist in Sausalito, CA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Mindy Susan Rosenberg, PH.D. NPI is 1679793418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 BRIDGEWAY STE 105
SAUSALITO, CA
ZIP 94965-967
Phone: (415) 491-1879
Fax: (415) 869-5300

The enumeration date for this NPI number is 4/26/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY11015CALIFORNIANo
2103TC0700XPsychologistClinicalPSY11015CALIFORNIANo
3103TC2200XPsychologistClinical Child & AdolescentPSY11015CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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