Individual provider Active NPI

Stacey Nemeth Roberts

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1326607219
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
4140 5TH Ave N Ste a
Saint Petersburg, FL 33713-6304
Phone
(727) 591-7963
NPI assigned
Jun 13, 2019
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

4140 5TH Ave N Ste a
Saint Petersburg, FL 33713-6304

Mailing address

4140 5TH Ave N Ste a
Saint Petersburg, FL 33713-6304
Phone (727) 591-7963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231004000989 FL Practitioner - Clinical Psychologist 0143674523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4140 5TH Ave N
Suite a
St Petersburg, FL 33713-6304
Phone (305) 502-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Nemeth Roberts Psychological Services LLC CurrentSince Mar 17, 2026 Accepting new patients

Locations

4140 5th Ave N
#A
St Petersburg, FL 33713
Phone (727) 223-1579

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1326607219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 5TH AVE N STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136304",
            "telephone_number": "727-591-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 5TH AVE N STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136304",
            "telephone_number": "727-591-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH ROBERTS",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.