Individual provider Active NPI

Kristen Roye, PSYD

  • Clinical Psychologist
  • Ventura, CA
National Provider Identifier
1609137199
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29924 Issued in CA
Practice address
4258 Telegraph Rd
Ventura, CA 93003-3706
Phone
(805) 304-8852
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY29924 CA Primary

Addresses

Primary practice location

4258 Telegraph Rd
Ventura, CA 93003-3706

Mailing address

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 304-8852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223002169 CA Practitioner - Clinical Psychologist 2062949597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29924CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Oct 20, 2024 Accepting new patients
County of Ventura CurrentSince Oct 20, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

800 S Victoria Ave
#L4640
Ventura, CA 93009

4258 Telegraph Rd
Ventura, CA 93003
Phone (805) 477-5700

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1609137199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033706",
            "telephone_number": "805-304-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4258 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033706",
            "telephone_number": "805-304-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYE",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.