DR. MICHAEL ANTHONY RODEVICH PHD NPI 1740320852

NPI Information

NPI: 1740320852
Provider Name: DR. MICHAEL ANTHONY RODEVICH, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
375 LAGUNA HONDA BLVD
LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS
SAN FRANCISCO, CA
ZIP 94116
Phone: (415) 759-4561
Get Directions

DR. Michael Anthony Rodevich, PHD is a clinical neuropsychologist in San Francisco, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Michael Anthony Rodevich, PHD NPI is 1740320852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

375 LAGUNA HONDA BLVD
LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS
SAN FRANCISCO, CA
ZIP 94116-411
Phone: (415) 759-4561
Fax: (415) 759-4587

The enumeration date for this NPI number is 2/7/2007 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PSY14238	CALIFORNIA	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	PSY14238	CALIFORNIA	No
3	103TC0700X	Psychologist	Clinical	PSY14238	CALIFORNIA	No
4	103TH0100X	Psychologist	Health Service	PSY14238	CALIFORNIA	No
5	103TR0400X	Psychologist	Rehabilitation	PSY14238	CALIFORNIA	No
6	103G00000X	Clinical Neuropsychologist		PSY14238	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P39749	MEDICARE UPIN	CALIFORNIA
2	PSY14238	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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