Nicole Alicia Roberts, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3947 Issued in AZ

Practice address

4701 W Thunderbird Rd
Asu - Social & Behavioral Sciences MC 3051
Glendale, AZ 85306-4900

Phone

(602) 543-3911

NPI assigned

Jan 21, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1801033386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W THUNDERBIRD RD",
            "address_2": "ASU - SOCIAL & BEHAVIORAL SCIENCES MC 3051",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064900",
            "telephone_number": "602-543-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W THUNDERBIRD RD",
            "address_2": "ASU - SOCIAL & BEHAVIORAL SCIENCES MC 3051",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064900",
            "telephone_number": "602-543-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NICOLE",
        "middle_name": "ALICIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Rubenzik, MDPC
• Bradley Scott Roberts, DDS
• Cory Roberts, LPC
• Ellen Karen Roberts, MNS SLP
• Eugenia Popescu Roberts, DDS
• Rebecca Sue Roberts, PTA
• Virginia Roberts
• Tara Robin
• Martin Robinette, PH.D.
• Jennifer Robins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.