Jessica C. Roberts, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004198 Issued in VA

Practice address

1300 E Marshall St
North Hospital, 2ND Floor, Room B2007
Richmond, VA 23298-5054

Phone

(804) 628-8758

NPI assigned

Jan 22, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1851622369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MALVERN AVE APT 6",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212667",
            "telephone_number": "785-865-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MARSHALL ST",
            "address_2": "NORTH HOSPITAL, 2ND FLOOR, ROOM B2007",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985054",
            "telephone_number": "804-628-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF PSYCHOLOGY",
            "identifier": "0810004198",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberts Physical Therapy & Massage
• Alvaro Roberts, NP
• Cameron Todd Roberts, DDS
• Charlotte S Roberts, NP
• Elizabeth B Roberts, M.D.
• Jessica Davis Roberts, PMHRN-BC, PMHNP-BC
• John C Roberts, M.D.
• Katherine Roberts, ATC CEAS
• Kathleen Roberts, LCSW
• Kathryn Martinez Roberts, DDS

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.