Active NPI
Cheryl Joy Roets, PHD
- Psychologist
- Watertown, WI
National Provider Identifier
1609878453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1776
- Practice address
- 3 Park View LN
Watertown, WI 53094-4112 - Phone
- (920) 285-2358
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1776 | WI | Primary |
Addresses
Primary practice location
3 Park View LN
Watertown, WI 53094-4112
Mailing address
3 Park View LN
Watertown, WI 53094-4112
Phone (920) 285-2358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39111700 | Medicaid | WI |
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1609878453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PARK VIEW LN",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944112",
"telephone_number": "920-285-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PARK VIEW LN",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530944112",
"telephone_number": "920-285-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETS",
"first_name": "CHERYL",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39111700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.