John E. Roe, PH.D., a Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 5769 Issued in CA

Legal business name

JOHN E. ROE, PH.D., A PROFESSIONAL CORPORATION

Practice address

4120 Cameron Park Dr
Suite 301
Cameron Park, CA 95682-7212

Phone

(530) 676-4555

Fax

(530) 676-4555

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John E. Roe, PH.D.NPI 1538361365

Title

President

Phone

(530) 676-4555

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Ed Roe Jr., PH.D., M.A., M.A.

  • Psychologist
  • Cameron Park, CA
  • NPI 1538361365
  Authorized official Same address or phone

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1669603320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 CAMERON PARK DR",
            "address_2": "SUITE 301",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CAMERON PARK DR",
            "address_2": "SUITE 301",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827212",
            "telephone_number": "530-676-4555",
            "fax_number": "530-676-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. ROE, PH.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-676-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 5769",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 6551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrell Keithe Jackson, DC
• Russell F Jacoby, MD
• Nahvid Jafarnejad, DMD
• Miranda Jiminez
• Ying Jin, RPH
• John Kelada M.D., Inc.
• Robyn Jones, IBCLC
• Donna Rae Jordan, M.D.
• John Kelada, M.D.
• Shane Kelly

• Psychologist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.