Active NPI
Annette L Roegiers
- Family Psychologist
- Sebastopol, CA
National Provider Identifier
1801773833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 21802
- Practice address
- 7300 Lynch Rd
Sebastopol, CA 95472-4468 - Phone
- (707) 953-5489
- NPI assigned
- Aug 20, 2025
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 21802 | CA | Primary |
Addresses
Primary practice location
7300 Lynch Rd
Sebastopol, CA 95472-4468
Mailing address
PO Box 377
Sebastopol, CA 95473-0377
Phone (707) 953-5489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 20, 2025 through Aug 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1801773833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 377",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954730377",
"telephone_number": "707-953-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 LYNCH RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724468",
"telephone_number": "707-953-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEGIERS",
"first_name": "ANNETTE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "21802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.