Julie Ray Roberts, PHD, CCC-SLP,BCBA-D

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24533 Issued in TX

Practice address

200 Magnolia Reserve Loop
Magnolia, TX 77354-3868

Phone

(972) 951-7909

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1093832719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAGNOLIA RESERVE LOOP",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543868",
            "telephone_number": "972-951-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAGNOLIA RESERVE LOOP",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543868",
            "telephone_number": "972-951-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Pleasantview Rd",
            "address_purpose": "LOCATION",
            "city": "Austinville",
            "state": "VA",
            "postal_code": "243123478",
            "country_code": "US",
            "telephone_number": "972-951-7909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JULIE",
        "middle_name": "RAY",
        "name_prefix": "Ms.",
        "credential": "PHD, CCC-SLP,BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenessa Louise Rivas, LPC-A
• Taylor Rivas
• Nechnaira Rivera, COTA
• Raegan Robbins
• Zachary Roberman, PHARM.D.
• Jamie Lynn Robertson, RBT
• Madeline Robertson, LMSW
• Kristina Robinson, RBT
• Melinda Rockwood
• Crystal Lynn Rodriguez, LCSW

• Speech-Language Pathologist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.