Individual provider Active NPI

Jonathan Roberti, PH.D.

  • Clinical Neuropsychologist
  • Sarasota, FL
National Provider Identifier
1841494499
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3810
Phone
(941) 993-4722
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary
Health Service Psychologist 103TH0100X
Biostatistician 246ZB0600X

Addresses

Primary practice location

2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3810

Mailing address

2222 S Tamiami TRL
Suite C
Sarasota, FL 34239-3810
Phone (941) 993-4722

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1841494499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S TAMIAMI TRL",
            "address_2": "SUITE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393810",
            "telephone_number": "941-993-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S TAMIAMI TRL",
            "address_2": "SUITE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393810",
            "telephone_number": "941-993-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTI",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZB0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biostatistician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.