JEANINE ANN ROOSE PH.D.
NPI 1306311006
Psychologist - Clinical in Valley Village, CA

Q: What is Jeanine Roose's NPI number?

The NPI number for Jeanine Roose is 1306311006. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Q: What is Jeanine Roose'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 Jeanine Roose was last updated on October 9, 2018. 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 October 09, 2018

4941 WILKINSON AVE. STE. A, VALLEY VILLAGE, CA 91607(818) 990-6150(818) 763-7030 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jeanine Ann Roose Ph.d. NPPES

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

JEANINE ANN ROOSE PH.D. (NPI 1306311006) is an individual clinical provider in Valley Village, California, licensed in California (PSY5489) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1306311006

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJEANINE ANN ROOSECredential: PH.D.

Location Address4941 WILKINSON AVE. STE. AValley Village, CA 91607

Mailing Address4941 Wilkinson Ave. Ste. AValley Village, CA 91607 · (818) 990-6150 · Fax (818) 763-7030

Phone(818) 990-6150

Fax(818) 763-7030

Sole ProprietorYes

Enumeration DateOctober 9, 2018

✔ NPI 1306311006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY5489

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.

4941 WILKINSON AVE. STE. A, Valley Village, CA 91607

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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 Jeanine Roose's NPI number?

The NPI number for Jeanine Roose is 1306311006. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Jeanine Roose located?

Jeanine Roose practices at 4941 Wilkinson Ave. Ste. A, Valley Village, CA 91607. The listed phone number is (818) 990-6150.

What is Jeanine Roose's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeanine Roose was last updated on October 9, 2018. 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.