Dan H Roberts, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22667 Issued in TX

Practice address

600 Round Rock West Dr
Suite 701
Round Rock, TX 78681-5007

Phone

(512) 388-2006

Fax

(512) 388-5886

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1508894502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2562",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786802562",
            "telephone_number": "512-388-2006",
            "fax_number": "512-388-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "address_2": "SUITE 701",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815007",
            "telephone_number": "512-388-2006",
            "fax_number": "512-388-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAN",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "160459",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098570701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "00G98C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J. Just, M.D.,P.a.
• Robert J. Naples, DDS PA
• Robert P Wills MD PLLC (Austin Pain Associates)
• Ericka Danielle Robert-Seager
• Abigail Lee Roberts
• Imelda Roberts, RN
• Jaclyn Roberts
• James H. Roberts
• Judy Roberts, LPC
• Samantha Cannon Roberts, LCSW, LCDC

• Clinical Psychologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.