Active NPI
Sarah Elaine Roberts, MS LP BCBA
- Cognitive & Behavioral Psychologist
- Hopkins, MN
National Provider Identifier
1801035332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- LP5032
- Practice address
- 415 Blake Rd N Ste 240
Hopkins, MN 55343-8192 - Phone
- (952) 814-0207
- NPI assigned
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LP5032 | MN | Primary |
Addresses
Primary practice location
415 Blake Rd N Ste 240
Hopkins, MN 55343-8192
Mailing address
415 Blake Road
Suite 240
Hopkins, MN 55343
Phone (952) 814-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5032 | MN | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1801035332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BLAKE ROAD",
"address_2": "SUITE 240",
"city": "HOPKINS",
"state": "MN",
"postal_code": "55343",
"telephone_number": "952-814-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BLAKE RD N STE 240",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438192",
"telephone_number": "952-814-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SARAH",
"middle_name": "ELAINE",
"credential": "MS LP BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MN",
"license": "LP5032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.