Active NPI
Joslynne Roberts, ED.S, NCSP
- School Psychologist
- Heyburn, ID
National Provider Identifier
1538046073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 663329576
- Practice address
- 1901 N St
Heyburn, ID 83336-8659 - Phone
- (706) 405-9774
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 82598 | WY | |
| School Psychologist | 103TS0200X | 663329576 | ID | Primary |
| School Psychologist | 103TS0200X | 20230009501 | NE |
Addresses
Primary practice location
1901 N St
Heyburn, ID 83336-8659
Mailing address
1901 N St
Heyburn, ID 83336-8659
Phone (706) 405-9774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 663329576 | ID | MD | School Psychologist |
| 20230009501 | NE | MD | School Psychologist |
| 82598 | WY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1538046073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N ST",
"city": "HEYBURN",
"state": "ID",
"postal_code": "833368659",
"telephone_number": "706-405-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N ST",
"city": "HEYBURN",
"state": "ID",
"postal_code": "833368659",
"telephone_number": "706-405-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOSLYNNE",
"credential": "ED.S, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WY",
"license": "82598",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "ID",
"license": "663329576",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NE",
"license": "20230009501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heyburn, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.