Rachael Roberts, LICSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8.004286 Issued in CT

Practice address

21 Rhodes Rd
Rocky Hill, CT 06067-1856

Phone

(203) 491-0179

NPI assigned

Apr 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1487189890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RHODES RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671856",
            "telephone_number": "203-491-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RHODES RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671856",
            "telephone_number": "203-491-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 N Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056414100",
            "country_code": "US",
            "telephone_number": "603-969-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RACHAEL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "8.004286",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0127747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virginia Rivera, APRN
• Suzanne E Roberts, LCSW
• Lindsey Robins
• Rocky Hill Adult Day Center and in Home Care LLC
• Rocky Hill Dental Group PLLC
• Rocky Hill Eye Associates PC

• Clinical Psychologist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.