Samuel J. Roberts and Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SAMUEL J. ROBERTS AND ASSOCIATES

Practice address

206 E College St
Ste a-100
Grapevine, TX 76051-5364

Phone

(817) 424-5157

Fax

(817) 424-1766

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Joseph Roberts, PH.D.NPI 1114041340

Title

Psychologist

Phone

(817) 424-5157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel J Roberts, PH.D.

  • Psychologist
  • Grapevine, TX
  • NPI 1114041340
  NPD (past) Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1154678241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752380326",
            "fax_number": "817-424-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E COLLEGE ST",
            "address_2": "STE A-100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515364",
            "telephone_number": "817-424-5157",
            "fax_number": "817-424-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J. ROBERTS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-424-5157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Elsa Saji, D.M.D.
• Nevin Saju, DPT
• Edgar David Salinas
• Sam's East, Inc. (Sam's Optical Center 30-4795)
• Sams East Inc (Sams Pharmacy)
• Marsha San Miguel, BCBA
• Joshua Caleb Sanders
• Robert Joseph Sandmann, M ED., ATC, LAT
• Parag Sanghvi, LCSW
• Sanjay B. Patel, MD P.a.

• Clinical Psychologist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.