Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeanine Ann Roose, PHD

Individual provider Clinical Psychologist · NPI 1306311006

Jeanine Ann Roose, PHD is a Clinical Psychologist in Valley Village, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4941 Wilkinson Ave Ste A
Valley Village, CA 91607
Phone: (818) 990-6150
Fax: (818) 763-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY5489 (CA)

Record details

NPI number1306311006
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018

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