Dr. Michael Anthony Rodevich
Health Service Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist and 2 more
375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs
San Francisco
, California 94116-1411
Dr. Michael Anthony Rodevich
Health Service Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist and 2 more
375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs
San Francisco
, California 94116-1411
(415) 759-2374
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About
Features
Specialties
- Clinical Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Health Service
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Michael Anthony Rodevich
- 375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs
- San Francisco, CA
- Zip : 94116-1411
- Fax : (415) 759-2374
- Phone : (415) 759-2300
Second Address
- Dr. Michael Anthony Rodevich
- 375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs
- San Francisco, CA
- Zip : 94116-1411
- Fax : (415) 759-4587
- Phone : (415) 759-4561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY14238 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY14238 | CA |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY14238 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY14238 | CA |
| N | 103G00000X | Clinical Psychologist | PSY14238 | CA |
| N | 103TC0700X | Clinical Psychologist | PSY14238 | CA |
| N | 103TH0100X | Health Service | PSY14238 | CA |
| N | 103TR0400X | Rehabilitation Psychologist | PSY14238 | CA |
National Provider Identifier
| NPI | 1740320852 |
|---|---|
| Provider Name | Dr. Michael Anthony Rodevich |
| First Address | San Francisco, CA 94116-1411 |
| Second Address | San Francisco, CA 94116-1411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 01/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P39749 | (02) | CA |
| PSY14238 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.