Individual provider Active NPI

Frank Andre Roberto, M.D.

  • Child & Adolescent Psychiatry Physician
  • Virginia Beach, VA
National Provider Identifier
1669467254
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101033372 Issued in VA
Practice address
289 Independence Blvd
Suit 245
Virginia Beach, VA 23462-5493
Phone
(757) 385-0684
Fax
(757) 493-5456
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101033372 VA
Child & Adolescent Psychiatry Physician 2084P0804X 0101033372 VA Primary

Addresses

Primary practice location

289 Independence Blvd
Suit 245
Virginia Beach, VA 23462-5493

Mailing address

289 Independence Blvd
Suit 245
Virginia Beach, VA 23462-5493
Phone (757) 385-0684

Other identifiers 11

IdentifierTypeStateIssuer
540990270OtherVAMAGELLAN
654878OtherVAMAMSI - PEDIATRIC
540990270OtherVAUNITED HEALTH CARE & UBH
C03534OtherVAMEDICARE GROUP C03534
004945310OtherVAVIRGINIA PREMIER
954878OtherVAMAMSI - ADULT
O87780OtherVAOPTIMA FAMILY CARE
540990270OtherVAVICARE
1861562472MedicaidVA
393066OtherVATRIGON BCBS/HEALTHKEEPERS
7112807MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000163 VA Practitioner - Psychiatry 6406810233 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033372VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Virginia Beach CurrentSince Aug 3, 2015 Accepting new patients
Western Tidewater Community Mental Psychiatry CurrentSince Dec 4, 2017 Accepting new patients
City of Virginia Beach CurrentSince Aug 3, 2015 Accepting new patients
City of Portsmouth PastSince Jun 5, 2014 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

297 Independence Blvd
Ste 300
Virginia Beach, VA 23462
Phone (757) 385-0838

289 Independence Blvd
Ste 312
Virginia Beach, VA 23462
Phone (757) 385-0684

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

Organizations & group practices 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1669467254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "SUIT 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-385-0684",
            "fax_number": "757-493-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "SUIT 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-385-0684",
            "fax_number": "757-493-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "FRANK",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101033372",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101033372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "540990270",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI - PEDIATRIC",
            "identifier": "654878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE & UBH",
            "identifier": "540990270",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP C03534",
            "identifier": "C03534",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "004945310",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI - ADULT",
            "identifier": "954878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA FAMILY CARE",
            "identifier": "O87780",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICARE",
            "identifier": "540990270",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS/HEALTHKEEPERS",
            "identifier": "393066",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112807",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.