Healthcare Provider Details

I. General information

NPI: 1285091124
Provider Name (Legal Business Name): ROSS FLOWERS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5479 E ABBEYFIELD ST STE 3
LONG BEACH CA
90815-3050
US

IV. Provider business mailing address

2722 CLARELLEN ST
TORRANCE CA
90505-7008
US

V. Phone/Fax

Practice location:
  • Phone: 562-737-0798
  • Fax:
Mailing address:
  • Phone: 619-227-6304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY18551
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License NumberPSY18551
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY18551
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY18551
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY18551
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY18551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: