Hannah Joy Roberts, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27352 Issued in CA

Practice address

1530 Monterey St Ste a
San Luis Obispo, CA 93401-2969

Phone

(805) 242-1304

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 15, 2024 through Jul 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1174551303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MONTEREY ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012969",
            "telephone_number": "805-242-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MONTEREY ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012969",
            "telephone_number": "805-242-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HANNAH",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "630102730",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014686",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Price MD Inc
• Robert S. Flores DMD, Inc
• Brian M. Roberts, M.D.
• Erin Lynn Roberts, LPT
• Eugene Roberts Jr.
• Joel Roberts
• Maria Crystena Roberts
• Nancy R Roberts
• Natalie Robertson, PA-C
• Rachel Katherine Robertson, BA, MS

• Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.