Roberson Clinical Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1843 Issued in AZ

Legal business name

ROBERSON CLINICAL SERVICES, LLC

Practice address

11024 N 28TH Dr
Suite 290
Phoenix, AZ 85029-4377

Phone

(623) 486-0935

Fax

(602) 734-0692

NPI assigned

Mar 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Charles Roberson, PH.D.

Title

Licensed Psychologist

Phone

(623) 486-0935

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1144614264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "623-486-0935",
            "fax_number": "602-734-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "623-486-0935",
            "fax_number": "602-734-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERSON CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "623-486-0935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1467549071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary J Robbins, MD
• Jennifer Victoria Robblee, MD MSC FRCPC
• Russell Irving Roberge III, D.D.S.
• Kelly Renee Robers, RD, CDCES
• Michael Vincent Robers, M.D.
• Angela Roberson, LCSW
• Frenita Roberson
• Joseph Charles Roberson, PH.D.
• Kelly Ann Roberson, COTA/L
• Robert B Ogesen PC

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.