DR. MINDY SUSAN ROSENBERG PH.D. NPI 1679793418

NPI Information

NPI: 1679793418
Provider Name: DR. MINDY SUSAN ROSENBERG, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
1505 BRIDGEWAY STE 105
SAUSALITO, CA
ZIP 94965
Phone: (415) 491-1879
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DR. Mindy Susan Rosenberg, PH.D. is a clinical neuropsychologist in Sausalito, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. 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 7/8/2007.

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
1	103G00000X	Clinical Neuropsychologist		PSY11015	CALIFORNIA	Yes
2	103TC0700X	Psychologist	Clinical	PSY11015	CALIFORNIA	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY11015	CALIFORNIA	X

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: 4/28/2024

NPI Synchronization or Removal

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