Provider Demographics
NPI:1235955030
Name:ROCKWOOD THERAPY GROUP - A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:ROCKWOOD THERAPY GROUP - A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINNIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-400-2858
Mailing Address - Street 1:1950 W CORPORATE WAY # 10207
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5373
Mailing Address - Country:US
Mailing Address - Phone:714-400-2858
Mailing Address - Fax:
Practice Address - Street 1:234 N EL MOLINO AVE STE 202
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-4404
Practice Address - Country:US
Practice Address - Phone:714-400-2858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty