Individual provider Active NPI

Kareta Monette Roulhac

  • School Psychologist
  • Panama City, FL
National Provider Identifier
1104557974
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1416 Issued in FL
Practice address
6533 Pridgen St
Panama City, FL 32404-8353
Phone
(850) 684-2098
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1416 FL Primary

Addresses

Primary practice location

6533 Pridgen St
Panama City, FL 32404-8353

Mailing address

6533 Pridgen St
Panama City, FL 32404-8353

Other practice location 1

4812 SW 74th Ct Unit 3
Miami, FL 33155-4448
Phone (786) 529-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1416FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Academic, Behavioral, and Cognitive Testing Services LLC School Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1104557974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 PRIDGEN ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324048353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 PRIDGEN ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324048353",
            "telephone_number": "850-684-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4812 SW 74th Ct Unit 3",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554448",
            "country_code": "US",
            "telephone_number": "786-529-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONETTE ROULHAC",
        "first_name": "KARETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.