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RAPHAEL D. ROSE PH.D.
NPI 1689813941
Psychologist - Cognitive & Behavioral in Los Angeles, CA

Active since February 10, 2009
11022 SANTA MONICA BLVD STE 250, LOS ANGELES, CA 90025(310) 882-8697 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 30, 2017 (2 updates tracked since 2017).

About Raphael D. Rose Ph.d. NPPES

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

RAPHAEL D. ROSE PH.D. (NPI 1689813941) is an individual cognitive & behavioral provider in Los Angeles, California, licensed in California (21412) and active in the NPI registry since February 2009. He maintains a secondary practice location in Beverly Hills.

NPPES Registry Identity

NPI1689813941
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameRAPHAEL D. ROSECredential: PH.D.
Location Address11022 SANTA MONICA BLVD STE 250Los Angeles, CA 90025-7573
Mailing Address11022 Santa Monica Blvd Ste 250Los Angeles, CA 90025-7573 · (310) 882-8697
Phone(310) 882-8697
Sole ProprietorYes
Enumeration DateFebruary 10, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1689813941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in CA · 21412
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 21412 (CA)
11022 SANTA MONICA BLVD STE 250, Los Angeles, CA 90025
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Secondary Practice Location 1

Location 19171 Wilshire Blvd, Penthouse #2Beverly Hills, CA 90210-5530 · Phone (310) 882-8697

Other Providers at the Same Location NPPES 2

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

GABRIELA INES PASTOR LMFT
Marriage & Family Therapist
11022 SANTA MONICA BLVD STE 250
LOS ANGELES, CA 90025
Los Angeles County (832) 366-4965
KRISTINE H JOHNSON MFT
Psychologist
11022 SANTA MONICA BLVD STE 250
LOS ANGELES, CA 90025
Los Angeles County (310) 625-1035

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 Raphael Rose's NPI number?

The NPI number for Raphael Rose is 1689813941. It was assigned to this individual provider in the NPPES registry on February 10, 2009.

Where is Raphael Rose located?

Raphael Rose practices at 11022 Santa Monica Blvd Ste 250, Los Angeles, CA 90025. The listed phone number is (310) 882-8697.

What is Raphael Rose's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Raphael Rose was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.