Rodevich, Michael Anthony
Rodevich, Michael Anthony is an individual health care provider with primary practice located at 375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs, San Francisco CA 94116-1411. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Rodevich, Michael Anthony can be contacted via phone (415) 759-4561.Contact Information
Primary practice address
375 Laguna Honda Blvd Laguna Honda Hospital And Rehab Center, Medical Svcs
San Francisco CA 94116-1411
Phone: (415) 759-4561
Fax: (415) 759-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY14238 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY14238 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY14238 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14238 | California |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PSY14238 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY14238 | California |
Profile Details
| NPI number | 1740320852 |
|---|---|
| LBN Legal business name | Rodevich, Michael Anthony |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Nov 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740320852 | NPPES |
| California | MEDICAID | PSY14238 |
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