Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MINDY SUSAN ROSENBERG, PH.D.
Active Sole ProprietorDR. MINDY SUSAN ROSENBERG, PH.D. is a Child, Clinical Psychologist healthcare provider located in SAUSALITO, California. NPI 1679793418 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SAUSALITO, CA
Registration Details
- NPI Number
- 1679793418
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2007 (19.293525621033 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PSY11015 (CA)PSY11015 (CA)PSY11015 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1505 BRIDGEWAY STE 105SAUSALITO, CA, 949651967Browse CA providers · Browse ZIP 94965
- Phone
- 4154911879
- Fax
- 4158695300
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.