Active NPI
Roberta Lee Roberts, RN,BC.BSN
- Psychiatric/Mental Health Registered Nurse
- White Plains, NY
National Provider Identifier
1578701645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 289464
- Practice address
- 360 Mamaroneck Ave
White Plains, NY 10605-1700 - Phone
- (914) 682-1480
- NPI assigned
- Jan 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 289464 | NY | Primary |
Addresses
Primary practice location
360 Mamaroneck Ave
White Plains, NY 10605-1700
Mailing address
263 Ashford Ave
Dobbs Ferry, NY 10522-2001
Phone (914) 693-2341
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289464 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VNSW | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1679727721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1578701645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ASHFORD AVE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222001",
"telephone_number": "914-693-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051700",
"telephone_number": "914-682-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ROBERTA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN,BC.BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "289464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.