Active NPI
Cathy Laura Roberts, PSY.D.
- Clinical Psychologist
- Plantation, FL
National Provider Identifier
1184747149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 7411
- Practice address
- 7376 NW 5TH St
Plantation, FL 33317-1605 - Phone
- (954) 461-5690
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 7411 | FL | Primary |
Addresses
Primary practice location
7376 NW 5TH St
Plantation, FL 33317-1605
Mailing address
4301 S Flamingo Rd
Suite 103-128
Davie, FL 33330-1902
Phone (954) 461-5690
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7411 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Clinical & Forensic Psychology Inc | Clinical | Past | Accepting new patients |
| Cathy L Roberts PSYD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Plantation, FL
- NPI 1972821635
-
- Clinical Psychologist
- Plantation, FL
- NPI 1265459275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184747149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 S FLAMINGO RD",
"address_2": "SUITE 103-128",
"city": "DAVIE",
"state": "FL",
"postal_code": "333301902",
"telephone_number": "954-461-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7376 NW 5TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171605",
"telephone_number": "954-461-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CATHY",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.