Organization Active NPI

Dan H. Roberts, PH.D., P.C.

  • Clinical Psychologist
  • Round Rock, TX
National Provider Identifier
1205106804
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22667 Issued in TX
Legal business name
DAN H. ROBERTS, PH.D., P.C.
Practice address
600 Round Rock West Dr
Ste. 701
Round Rock, TX 78681-5007
Phone
(512) 388-2006
Fax
(512) 388-5886
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dan RobertsNPI 1508894502
Title
President
Phone
(512) 388-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22667 TX Primary

Addresses

Primary practice location

600 Round Rock West Dr
Ste. 701
Round Rock, TX 78681-5007

Mailing address

PO Box 2562
Round Rock, TX 78680-2562
Phone (512) 388-2006

National Provider Directory

National Provider Directory

Locations

600 Round Rock West Dr
Ste 701
Round Rock, TX 78681
Phone (512) 388-2006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1205106804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2562",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786802562",
            "telephone_number": "512-388-2006",
            "fax_number": "512-388-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "address_2": "STE. 701",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815007",
            "telephone_number": "512-388-2006",
            "fax_number": "512-388-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN H. ROBERTS, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-388-2006"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.