Nicola A Roache Ashley, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007125 Issued in IL

Practice address

636 Church St
Suite 301a
Evanston, IL 60201-4508

Phone

(847) 269-0069

Fax

(312) 746-4491

NPI assigned

Jan 3, 2007

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nicola A Roache Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)
• Lifecore Rehab and Counseling Services SC

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1679819734
  NPD (past)
• Roache & Associates

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1417324880
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1184781510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E HURON ST APT 1401",
            "address_2": "CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112715",
            "telephone_number": "847-269-0069",
            "fax_number": "847-328-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST",
            "address_2": "SUITE 301A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014508",
            "telephone_number": "847-269-0069",
            "fax_number": "312-746-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACHE ASHLEY",
        "first_name": "NICOLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3617849901",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "ROACHE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Rivera-Palen
• Cherise Rivers
• Sandy E. Rizo, PT
• RJS3 Counseling and Consulting LLC
• Susie Ro, MD
• Anna Lynn Robbins
• Robert M Gerber
• Catherine Emery Roberts, M.D.
• Chaaze Patrick Roberts, MSMFT
• Deanna Roberts, LCPC, BC-DMT

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.