Kristin Elizabeth Roberts

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301015770 Issued in MI

Practice address

1514 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2755

Phone

(616) 706-4765

NPI assigned

Feb 23, 2014

Sex

Female

Sole proprietor

Yes

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 MI

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Kristin Roberts Psychological Services LLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1295550457
  Medicare reassignment NPD Authorized official
• River City Psychological Services PC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1235557844
  Medicare reassignment NPD
• Eastown Psychological Services PLLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1659214591
  NPD Authorized official

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1801211107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE STE 290",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-706-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE STE 290",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-706-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Ethel Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495062724",
            "country_code": "US",
            "telephone_number": "616-706-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Roberts
• Jennifer Roberts
• Jessica Roberts
• Karl C Roberts, M.D.
• Kelsey Roberts, BCBA
• Kyra Roberts, LCMHCA
• Marva Jean Roberts
• Matthew Roberts
• Michelle Roberts, RDH, BSDH
• Michelle Marie Roberts, LMSW

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.