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STEPHANIE ROTHMAN PH.D.
NPI 1619629094
Psychologist - Addiction (Substance Use Disorder) in Petaluma, CA

Active since January 26, 2022
1513 PHEASANT DR, PETALUMA, CA 94954(707) 332-6452 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Rothman Ph.d. NPPES

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

STEPHANIE ROTHMAN PH.D. (NPI 1619629094) is an individual addiction (substance use disorder) provider in Petaluma, California, licensed in California (33112) and active in the NPI registry since January 2022. She maintains a secondary practice location in Novato.

NPPES Registry Identity

NPI1619629094
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameSTEPHANIE ROTHMANCredential: PH.D.
Location Address1513 PHEASANT DRPetaluma, CA 94954-4467
Mailing Address1513 Pheasant DrPetaluma, CA 94954-4467 · (707) 332-6452
Phone(707) 332-6452
Sole ProprietorYes
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1619629094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in CA · 33112
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
1513 PHEASANT DR, Petaluma, CA 94954
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Secondary Practice Location 1

Location 1505 San Marin DrNovato, CA 94945-1309 · Phone (707) 332-6452

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 Stephanie Rothman's NPI number?

The NPI number for Stephanie Rothman is 1619629094. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Stephanie Rothman located?

Stephanie Rothman practices at 1513 Pheasant Dr, Petaluma, CA 94954. The listed phone number is (707) 332-6452.

What is Stephanie Rothman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Stephanie Rothman was last updated on January 26, 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.