Individual provider Active NPI

Spencer Reed Roberts, DO

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1629507744
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
009168 Issued in AZ
Practice address
3601 S 6TH Ave
Tucson, AZ 85723-6706
Phone
(520) 792-1450
NPI assigned
Jun 12, 2017
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
009168AZMDPsychiatry Physician
DR.0062468COMDPsychiatry Physician
TL.0006680COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Behavioral Health LLC Psychiatry PastSince Oct 1, 2019 Accepting new patients
Healthone Clinic Services - Behavioral Health LLC Psychiatry PastSince Mar 22, 2020 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.

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

Verify at the official NPI Registry.