MARK H. ROSSDANSON PH.D.
NPI 1174545073
Psychologist in Los Angeles, CA

Active since July 23, 2006PECOS Enrolled
6310 SAN VICENTE BLVD, STE 410, LOS ANGELES, CA 90048(323) 932-1677 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark H. Rossdanson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK H. ROSSDANSON PH.D. (NPI 1174545073) is an individual psychologist in Los Angeles, California, licensed in California (PSY12601) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174545073
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK H. ROSSDANSONCredential: PH.D.
Location Address6310 SAN VICENTE BLVD, STE 410Los Angeles, CA 90048-5457
Mailing Address6310 San Vicente Blvd Ste 410Los Angeles, CA 90048-5427 · (323) 932-1677
Sole ProprietorYes
Enumeration DateJuly 23, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1174545073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY12601
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6310 SAN VICENTE BLVD, Los Angeles, CA 90048

Other Identifiers 1

Medicare ID-Type UnspecifiedCP12601CA · Psychologist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark H. Rossdanson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
6310 SAN VICENTE BLVD, SUITE 220
LOS ANGELES, CA 90048
Psychologist (Clinical)
6310 SAN VICENTE BLVD, SUITE 425
LOS ANGELES, CA 90048
Obstetrics & Gynecology (Gynecology)
6310 SAN VICENTE BLVD, SUITE 330
LOS ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Specialist
6310 SAN VICENTE BLVD, STE 220
LOS ANGELES, CA 90048
Marriage & Family Therapist
6310 SAN VICENTE BLVD, SUITE 415
LOSA ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Counselor (Professional)
6310 SAN VICENTE BLVD
LOS ANGELES, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Rossdanson's NPI number?

The NPI number for Mark Rossdanson is 1174545073. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Mark Rossdanson located?

Mark Rossdanson practices at 6310 San Vicente Blvd Ste 410, Los Angeles, CA 90048. The listed phone number is (323) 932-1677.

What is Mark Rossdanson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Rossdanson enrolled in Medicare?

Yes. Mark Rossdanson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Rossdanson was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.