Provider Demographics
NPI:1982644571
Name:STEINBERG, ROY D (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:D
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 S BEVERLY GLEN BLVD
Mailing Address - Street 2:APT 901
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5277
Mailing Address - Country:US
Mailing Address - Phone:609-458-2540
Mailing Address - Fax:
Practice Address - Street 1:1333 S BEVERLY GLEN BLVD
Practice Address - Street 2:APT 901
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5277
Practice Address - Country:US
Practice Address - Phone:609-458-2540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100355000103T00000X
CAPSY14836103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7128519Medicaid
NJ7128519Medicaid