Ann-Marie Klecka Roberts, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32841 Issued in TX

Practice address

1005 W Jefferson Blvd Ste 300
Dallas, TX 75208-5092

Phone

(214) 941-1650

Fax

(214) 941-8008

NPI assigned

Oct 30, 2012

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lori Golden, PH.D. LLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1558485953
  NPD

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1477807469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 MELSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302115",
            "telephone_number": "210-412-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W JEFFERSON BLVD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085092",
            "telephone_number": "214-941-1650",
            "fax_number": "214-941-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANN-MARIE",
        "middle_name": "KLECKA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Roberti Moccia, SA-C
• Hayley Lynn Roberto, APRN, CNM
• Breonna Chante Roberts-Cook, APRN, FNP-C
• Allison Roberts
• Amanda L Roberts, LPC
• Brandee Roberts, RN
• Bruce John Roberts, M.D., F.A.C.O.G.
• Caroline Roberts, PH.D.
• Catherin Ann Roberts, M.D.
• Cathleen Doman Roberts, DO

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.