Amy Elaine Roberts, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3607 Issued in NC

Practice address

5640 Cottingham LN
Charlotte, NC 28211-4234

Phone

(415) 250-1653

Fax

(800) 218-2559

NPI assigned

Aug 29, 2008

Last updated

Aug 29, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• The Pisgah Institute for Psychotherapy & Education, P.a.

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1700802600
  NPD (past)
• The Pisgah Institute for Psychotherapy & Education, P.a.

  • Psychologist
  • Asheville, NC
  • NPI 1871507038
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1215185459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 COTTINGHAM LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114234",
            "telephone_number": "415-250-1653",
            "fax_number": "800-218-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 COTTINGHAM LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114234",
            "telephone_number": "415-250-1653",
            "fax_number": "800-218-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Bookholt, DDS, PA
• Robert L Seymour DDS PA
• Robert L. Young, Jr. , DDS (Young and Polite Childrens Dentistry)
• Robert R Haglund Jr DMD, MDS,II,PA (South Charlotte Endodontics)
• Aderonke Roberts
• Ashley Roberts, PHARMD
• Benjamin Joel Roberts, CRNA
• Christopher Nathan Roberts
• Constance Marie Roberts
• Darryl Roberts, ND

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.