DR. JILL LAUREN ROSENBERG PSY.D.
NPI 1407918774
Psychologist - Clinical in Palo Alto, CA

Q: What is Jill Rosenberg's NPI number?

The NPI number for Jill Rosenberg is 1407918774. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Jill Rosenberg's specialty?

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

Q: Is Jill Rosenberg enrolled in Medicare?

No. Jill Rosenberg has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jill Rosenberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2006Opted out of Medicare · through Oct 1, 2027

650 CLARK WAY, PALO ALTO, CA 94304(650) 617-3873(650) 322-4329 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Jill Lauren Rosenberg Psy.d. NPPES

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

DR. JILL LAUREN ROSENBERG PSY.D. (NPI 1407918774) is an individual clinical provider in Palo Alto, California, licensed in California (PSY 21005) and active in the NPI registry since December 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407918774

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILL LAUREN ROSENBERGCredential: PSY.D.

Location Address650 CLARK WAYPalo Alto, CA 94304-2300

Mailing Address650 Clark WayPalo Alto, CA 94304-2300 · (650) 617-3873 · Fax (650) 322-4329

Phone(650) 617-3873

Fax(650) 322-4329

Sole ProprietorYes

Enumeration DateDecember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407918774 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 · PSY 21005

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.

650 CLARK WAY, Palo Alto, CA 94304

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jill Lauren Rosenberg Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. GLEN R. ELLIOTT PH.D., M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)