Kristen A Roorbach, M.T., PH.D.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1 Boars Head PL Ste 240
Charlottesville, VA 22903-4628

Phone

(434) 282-4088

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kristen R Jamison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician, Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1093193195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD PL STE 240",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034628",
            "telephone_number": "434-282-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD PL STE 240",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034628",
            "telephone_number": "434-282-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROORBACH",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.T., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JAMISON",
            "middle_name": "R",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Mercedes Romero-Vazquez
• Bryan L Romig, P.T.
• Mark J. Romness
• Ronald McDonald House of Charlottesville
• Donalee L Rooks, LCSW
• Dale Hardaway Roper, RPH
• Alan M. Ropp, M.D.
• Carlene Rosado Martin, O.D. F.A.A.O.
• Eleanor Matthews Rosado, MD
• Adam Joseph Rose

• Behavior Analyst in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.