MS. MICHELE ANNE ROUSH MA, RASI
NPI 1194026294
Psychologist - Clinical in San Jose, CA

Q: What is Michele Roush's NPI number?

The NPI number for Michele Roush is 1194026294. It was assigned to this individual provider in the NPPES registry on November 5, 2010.

Q: What is Michele Roush's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michele Roush was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 05, 2010

1887 MONTEREY HWY STE 225, SAN JOSE, CA 95112(408) 706-6855 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2019, Nov 23, 2016 (2 updates tracked since 2016).

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About Ms. Michele Anne Roush Ma, Rasi NPPES

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

MS. MICHELE ANNE ROUSH MA, RASI (NPI 1194026294) is an individual clinical provider in San Jose, California, licensed in California (2012668) and active in the NPI registry since November 2010. She maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1194026294

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. MICHELE ANNE ROUSHCredential: MA, RASI

Location Address1887 MONTEREY HWY STE 225San Jose, CA 95112

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (949) 833-2237

Phone(408) 706-6855

Sole ProprietorNo

Enumeration DateNovember 5, 2010

Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration

✔ NPI 1194026294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 2012668

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedBehavior TechnicianTaxonomy 106S00000X

1887 MONTEREY HWY STE 225, San Jose, CA 95112

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Secondary Practice Location 1

Location 13035 Prather LnSanta Cruz, CA 95065-1801 · Phone (831) 459-0444 · Fax (831) 459-0665

Other Identifiers 1

OtherZZZ92069ZCA · Medicare Group Ptan# Santa Cruz Ca

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.

JINGMEI SUN

Behavior Analyst