MR. PETER CHRISTOPHER ROUSSOS M.A.
NPI 1427264050
Marriage & Family Therapist in San Diego, CA

NPI Status: Active since May 14, 2007

Contact Information

4246 CORTE FAVOR
SAN DIEGO, CA
ZIP 92130
Phone: (858) 755-2505

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  • Individual
  • Male
  • Marriage & Family Therapist
  • PECOS Enrolled
  • Opted-Out Medicare

About PETER ROUSSOS

This page provides the complete NPI Profile along with additional information for Peter Roussos, a provider established in San Diego, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1427264050 assigned on May 2007. The practitioner's primary taxonomy code is 106H00000X with license number MFC34711 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1427264050
Provider Name
MR. PETER CHRISTOPHER ROUSSOS M.A.
Gender
Male
Entity Type
Individual
Location Address
4246 CORTE FAVOR SAN DIEGO, CA 92130
Location Phone
(858) 755-2505
Mailing Address
3525 SUITE A DEL MAR HEIGHTS ROAD BOX 1840 SAN DIEGO, CA 92130
Mailing Phone
(858) 755-2505
Is Sole Proprietor?
Yes
Enumeration Date
05-14-2007
Last Update Date
11-03-2022
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A marriage and family therapist like Peter Roussos help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Roussos opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
MFC34711
License State
CA
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Medicare Participation & PECOS Enrollment Status

Peter Roussos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2026

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427264050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447468010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 6 + 8 + 0 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427264050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427264050, enumerated as an "individual" on May 14, 2007.

The provider is located at 4246 CORTE FAVOR SAN DIEGO, CA 92130 and the phone number is (858) 755-2505.

Marriage & Family Therapist with taxonomy code 106H00000X.