BENJAMIN ROOS PSYD
NPI 1538710207
Psychologist in Pasadena, CA

Active since September 24, 2019Opted out of Medicare · through Jan 1, 2027
595 E COLORADO BLVD STE 610, PASADENA, CA 91101(626) 344-0232 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Sep 24, 2019 (2 updates tracked since 2019).

About Benjamin Roos Psyd NPPES

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

BENJAMIN ROOS PSYD (NPI 1538710207) is an individual psychologist in Pasadena, California, licensed in California (33538) and active in the NPI registry since September 2019. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1538710207
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBENJAMIN ROOSCredential: PSYD
Location Address595 E COLORADO BLVD STE 610Pasadena, CA 91101-2015
Mailing Address141 San Pascual Ave Apt 3Los Angeles, CA 90042-3763 · (626) 344-0232
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1538710207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · 33538 Licensed in UT · 11421644-2504
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
595 E COLORADO BLVD STE 610, Pasadena, CA 91101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Benjamin Roos Psyd 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 January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
595 E COLORADO BLVD STE 610
PASADENA, CA 91101

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 Benjamin Roos's NPI number?

The NPI number for Benjamin Roos is 1538710207. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Benjamin Roos located?

Benjamin Roos practices at 595 E Colorado Blvd Ste 610, Pasadena, CA 91101. The listed phone number is (626) 344-0232.

What is Benjamin Roos's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Benjamin Roos enrolled in Medicare?

No. Benjamin Roos has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Benjamin Roos was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.