NICHOLAS ROSENLICHT MD INC
NPI 1376295022
Clinic/Center - Medical Specialty in Berkeley, CA
About Nicholas Rosenlicht Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS ROSENLICHT MD INC (NPI 1376295022) is a healthcare organization registered as a medical specialty in Berkeley, California and active in the NPI registry since January 2022. The organization lists Nicholas Rosenlicht, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas Rosenlicht Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas Rosenlicht MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicholas Rosenlicht MD Inc's NPI number?
The NPI number for Nicholas Rosenlicht MD Inc is 1376295022. It was assigned to this organization in the NPPES registry on January 24, 2022.
Where is Nicholas Rosenlicht MD Inc located?
Nicholas Rosenlicht MD Inc is located at 526 Vincente Ave, Berkeley, CA 94707. The listed phone number is (510) 558-3488.
What is Nicholas Rosenlicht MD Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Nicholas Rosenlicht MD Inc enrolled in Medicare?
Yes. Nicholas Rosenlicht MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicholas Rosenlicht MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Nicholas Rosenlicht MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nicholas Rosenlicht MD Inc was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicholas Rosenlicht Md Inc · NPI 1376295022
Medical Specialty organization in Berkeley, California. Organization record, active in the CMS NPPES registry since January 24, 2022.
## Identity
- **NPI:** 1376295022 (Entity type: Organization)
- **Enumerated:** January 24, 2022
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Nicholas Rosenlicht, PRESIDENT
## Practice location
- **Address:** 526 VINCENTE AVE, Berkeley, CA 94707-1522
- **Phone:** (510) 558-3488 · **Fax:** (855) 558-3488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376295022) · Data from the CMS NPPES public registry.