Active NPI
R Elizabeth Roebuck, PH.D.
- Counseling Psychologist
- Newton, MA
National Provider Identifier
1689657348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2965
- Practice address
- 36 Oak Cliff Rd
Newton, MA 02460-2325 - Phone
- (617) 965-0806
- NPI assigned
- Nov 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2965 | MA | Primary |
Addresses
Primary practice location
36 Oak Cliff Rd
Newton, MA 02460-2325
Mailing address
36 Oak Cliff Rd
Newton, MA 02460-2325
Phone (617) 965-0806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080528000190 | MA | Practitioner - Clinical Psychologist | 3173693587 | Practice locations: Newton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
36 Oak Cliff Rd
Newton, MA 02460-2325
Phone (617) 965-0806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2965 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689657348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 OAK CLIFF RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024602325",
"telephone_number": "617-965-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 OAK CLIFF RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024602325",
"telephone_number": "617-965-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBUCK",
"first_name": "R",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.