Active NPI
Patricia Elizabeth Roos, PHD
- Clinical Psychologist
- Carrboro, NC
National Provider Identifier
1609958008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2598
- Practice address
- 610 Jones Ferry Rd Ste 208
Carrboro, NC 27510-6113 - Phone
- (919) 338-2928
- Fax
- (919) 442-1105
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2598 | NC | Primary |
Addresses
Primary practice location
610 Jones Ferry Rd Ste 208
Carrboro, NC 27510-6113
Mailing address
610 Jones Ferry Rd Ste 208
Carrboro, NC 27510-6113
Phone (919) 338-2928
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Care Centers, North Carolina, PLLC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1609958008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 JONES FERRY RD STE 208",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275106113",
"telephone_number": "919-338-2928",
"fax_number": "919-442-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 JONES FERRY RD STE 208",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275106113",
"telephone_number": "919-338-2928",
"fax_number": "919-442-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOS",
"first_name": "PATRICIA",
"middle_name": "ELIZABETH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.