Active NPI
Jessica Roberts, PHD
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1396147245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1001013
- Practice address
- 601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601 - Phone
- (202) 638-6942
- Fax
- (202) 220-3091
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1001013 | DC | Primary |
Addresses
Primary practice location
601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Mailing address
601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (202) 638-6942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001013 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1396147245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PENNSYLVANIA AVE NW",
"address_2": "SUITE 900",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200042601",
"telephone_number": "202-638-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PENNSYLVANIA AVE NW",
"address_2": "SUITE 900",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200042601",
"telephone_number": "202-638-6942",
"fax_number": "202-220-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.