Individual provider Active NPI

Andrea Paula Roof, PSYD

  • Clinical Psychologist
  • Southampton, PA
National Provider Identifier
1417380593
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017394 Issued in PA
Practice address
928 Jaymor Rd
Southampton, PA 18966-3826
Phone
(215) 947-8654
Fax
(215) 938-7607
NPI assigned
Aug 13, 2013
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017394 PA Primary

Addresses

Primary practice location

928 Jaymor Rd
Southampton, PA 18966-3826

Mailing address

928 Jaymor Road
B 150
Southampton, PA 18966-3853
Phone (215) 947-8654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260203002015 PA Practitioner - Clinical Psychologist 8022596782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Growth Opportunity CenterGroup PAC ID 9335051085, 27 clinicians

Practice addresses (Care Compare)

928 Jaymor Rd
Suite B 150
Southampton, PA 18966-3853
Phone (215) 947-8654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017394PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Opportunity Center CurrentSince Jan 22, 2026 Accepting new patients
Andrea Roof, PSYD, PLLC Psychologist Current Accepting new patients

Locations

928 Jaymor Rd
Ste B150
Southampton, PA 18966
Phone (215) 947-8654

Organizations & group practices 2

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1417380593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 JAYMOR ROAD",
            "address_2": "B 150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663853",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663826",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "ANDREA",
        "middle_name": "PAULA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.