Jessica Roberts, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28564 Issued in CA

Practice address

12440 Imperial Hwy FL 7
Norwalk, CA 90650-3177

Phone

(909) 615-7155

NPI assigned

Jan 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1639473853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY FL 7",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY FL 7",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177",
            "telephone_number": "909-615-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S McDonnell Ave",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900405623",
            "country_code": "US",
            "telephone_number": "323-981-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illeana Christine Rivas
• Jose Rivera
• Sara Rizkalla, PHARMD
• Cory Rizzuto, PSY.D.
• Aubreea Deshay Roberson
• Sarah N Robinson
• Fidencio Robles
• Aaliyah Robleto
• Rey Paolo Ernesto Jimenez Roca III, MSN, RN, CNE, PMHPHN
• Dorina Rocha, REGISTERED NURSE

• Clinical Psychologist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.