Jeanine Ann Roose, PHD - Psychologist in Valley Village, CA

Jeanine Ann Roose, PHD is a Psychologist - Clinical based in Valley Village, California. Jeanine Ann Roose is licensed to practice in California (license number PSY5489) and her current practice location is 4941 Wilkinson Ave. Ste. A, Valley Village, California. She can be reached at her office (for appointments etc.) via phone at (818) 990-6150.

NPI number for Jeanine Ann Roose is 1306311006 and her current mailing address is 4941 Wilkinson Ave. Ste. A, Valley Village, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306311006.

Contact Information

Jeanine Ann Roose, PHD
4941 Wilkinson Ave. Ste. A,
Valley Village, CA 91607
(818) 990-6150
(818) 763-7030

Map and Direction




Healthcare Provider's Profile

Full NameJeanine Ann Roose
GenderFemale
SpecialityPsychologist - Clinical
Location4941 Wilkinson Ave. Ste. A, Valley Village, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306311006
  • Provider Enumeration Date: 10/09/2018
  • Last Update Date: 10/09/2018

Medical Identifiers

Medical identifiers for Jeanine Ann Roose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306311006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY5489 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanine Ann Roose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeanine Ann Roose, PHD
4941 Wilkinson Ave. Ste. A,
Valley Village, CA 91607

Ph: (818) 990-6150
Jeanine Ann Roose, PHD
4941 Wilkinson Ave. Ste. A,
Valley Village, CA 91607

Ph: (818) 990-6150

Reviews and Comments


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