Healthcare Provider Details

I. General information

NPI: 1548118565
Provider Name (Legal Business Name): ROSARIO CARBAJAL PH.D PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSARIO A. CARBAJAL

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 MAYHEW WAY BUILDING 'B', SUITE 300
PLEASANT HILL CA
94523
US

IV. Provider business mailing address

5371 FERNBANK DR.
CONCORD CA
94521
US

V. Phone/Fax

Practice location:
  • Phone: 925-852-4155
  • Fax:
Mailing address:
  • Phone: 925-852-4155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT104447
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: