Provider Demographics
NPI:1124125414
Name:ROCKMAN, STEVE (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:ROCKMAN
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:STEPHEN
Other - Middle Name:
Other - Last Name:ROCKMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28241 CROWN VALLEY PKWY
Mailing Address - Street 2:F435
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4441
Mailing Address - Country:US
Mailing Address - Phone:949-230-9602
Mailing Address - Fax:
Practice Address - Street 1:30001 IVY GLENN DRIVE
Practice Address - Street 2:107
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677
Practice Address - Country:US
Practice Address - Phone:949-230-9602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14623103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist