Roberta A Roas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11237 Issued in FL

Practice address

1931 SW Fanfare St
Port Saint Lucie, FL 34987-2031

Phone

(954) 804-2803

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Roberta P Abreu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1386397362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 SW FANFARE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872031",
            "telephone_number": "954-804-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 SW FANFARE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872031",
            "telephone_number": "954-804-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAS",
        "first_name": "ROBERTA",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "ABREU",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janel Merrie Rincon, LMHC
• Karla Michelle Rios Sanchez
• Rise Counseling Treasure Coast
• Chelsea Nicole Ritten
• Stephany Rivera Amin, LCSW
• Yohanka Robaina
• Craig Roberson, L.M.T.
• Robert a Dudley, C.R.N.a., P.a.
• Robert a Iannacone DPM
• Robert B. Musser

• Clinical Psychologist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.