Roxanne Ruth Witte, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

AZ1575 Issued in AZ

Practice address

4721 W Hatcher Rd
Glendale, AZ 85302-3625

Phone

(602) 825-3741

NPI assigned

Jul 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Mountain Waves Healing Arts, Inc.

  • Psychologist
  • Flagstaff, AZ
  • NPI 1003932898
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1376575787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 W HATCHER RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023625",
            "telephone_number": "602-825-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 W HATCHER RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023625",
            "telephone_number": "602-825-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "ROXANNE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "AZ1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PREFERRED PROVIDER",
            "identifier": "AZ0609640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance Reed Wissman, D.P.M.
• Kyra Rene Witbeck, PA-C
• With Open Arms Homecare Az LLC
• Stephanie Witkemper
• Ty Robert Witt, M.D.
• Jeanne Patricia Witter, PHD, LPC, LISAC
• Gwen Annette Wodiuk, DNP, F.N.P.
• Carl William Woerner, DC
• Kamrie E Wolf, PA-C
• Lori Kaye Wolf, OTR/L CHT

• Clinical Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.