Robert Brian Roden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1283 Issued in AZ

Practice address

1257 W Warner Rd
Suite B-3
Chandler, AZ 85224-2713

Phone

(480) 899-8474

NPI assigned

Apr 26, 2006

Last updated

Nov 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Roden Behavioral Health, PLLC

  • Clinical Psychologist
  • Chandler, AZ
  • NPI 1962097071
  NPD Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1780641647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 S WILDFLOWER PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 W WARNER RD",
            "address_2": "SUITE B-3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242713",
            "telephone_number": "480-899-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robotic Surgery Center, LLC
• Bailey Roby, LMFT
• Rocky Mountain Holdings LLC
• Rod Pitts, Jr. Rnfa, PLLC
• Roden Behavioral Health, PLLC
• Casey Renee Rodenbaugh, FNP-C
• Debra A Rodgers Herington, FNP
• Chelsey Dawn Rodgers, RN, BSN, CLC
• Rebecca L Rodgers, RNFA
• Shawn Mishell Rodrigues, LPC

• Clinical Psychologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.

Verify at the official NPI Registry.