Active NPI
Harriet Walker Roeder, MD
- Psychiatry Physician
- Stanford, CA
National Provider Identifier
1558555722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G80780
- Practice address
- 1041 Cathcart Way
Stanford, CA 94305-1048 - Phone
- (650) 605-3790
- Fax
- (650) 374-0109
- NPI assigned
- Aug 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G80780 | CA | Primary |
Addresses
Primary practice location
1041 Cathcart Way
Stanford, CA 94305-1048
Mailing address
1041 Cathcart Way
Stanford, CA 94305-1048
Phone (650) 605-3790
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80780 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1558555722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 CATHCART WAY",
"city": "STANFORD",
"state": "CA",
"postal_code": "943051048",
"telephone_number": "650-605-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 CATHCART WAY",
"city": "STANFORD",
"state": "CA",
"postal_code": "943051048",
"telephone_number": "650-605-3790",
"fax_number": "650-374-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "HARRIET",
"middle_name": "WALKER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G80780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.