Active NPI
Spencer Reed Roberts, DO
- Psychiatry Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 009168
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-6706 - Phone
- (520) 792-1450
- NPI assigned
- Jun 12, 2017
- Last updated
- Jun 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0062468 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0006680 | CO | |
| Psychiatry Physician | 2084P0800X | 009168 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-6706
Mailing address
10580 E Malta St
Tucson, AZ 85747-5979
Phone (831) 241-4679
Other practice location 1
1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300
Other practice location 2
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 874-2406
Other practice location 3
11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2397
Other practice location 4
700 Potomac St
Aurora, CO 80011-6844
Phone (303) 695-2600
Other practice location 5
730 Potomac St Ste 218
Aurora, CO 80011-6706
Phone (720) 282-8015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009168 | AZ | MD | Psychiatry Physician |
| DR.0062468 | CO | MD | Psychiatry Physician |
| TL.0006680 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthone Clinic Services - Behavioral Health LLC | Psychiatry | Past | Accepting new patients |
| Healthone Clinic Services - Behavioral Health LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Aurora, CO
- NPI 1184893604
-
- Psychiatry Physician
- Aurora, CO
- NPI 1891320636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1629507744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10580 E MALTA ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857475979",
"telephone_number": "831-241-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857236706",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [
{
"address_1": "1290 Chambers Rd",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800117117",
"country_code": "US",
"telephone_number": "303-617-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10101 Ridgegate Pkwy",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801245522",
"country_code": "US",
"telephone_number": "720-874-2406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11059 E Bethany Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800142622",
"country_code": "US",
"telephone_number": "303-617-2397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Potomac St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800116844",
"country_code": "US",
"telephone_number": "303-695-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 Potomac St Ste 218",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800116706",
"country_code": "US",
"telephone_number": "720-282-8015",
"fax_number": "303-340-9927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "SPENCER",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0062468",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL.0006680",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "009168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.