Renee Roberts, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1057 Issued in AZ

Practice address

1405 W 16TH St
Ste C
Yuma, AZ 85364-4579

Phone

(928) 783-4859

Fax

(928) 782-3239

NPI assigned

Dec 9, 2006

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Renee Reed Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Mynd, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chandler, AZ
  • NPI 1922645795
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1871653154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W 16TH ST",
            "address_2": "STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644579",
            "telephone_number": "928-783-4859",
            "fax_number": "928-782-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W 16TH ST",
            "address_2": "STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644579",
            "telephone_number": "928-783-4859",
            "fax_number": "928-782-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1057",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040200A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008688",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "REED",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Paige Robbins, RD
• Robert a. Kaye, M.D., P.C.
• Robert C. Harris, D.D.S., P.C.
• Robert J Land DDS PLLC
• Robert K Barnett, MD, PC
• Patricia Robey
• Stephanie Rebecca Robinette, LPC, LPCC, LICDC
• Cathyann Robinson, LMSW
• Jeff Robison, RRT RCP
• Diana Valerie Robledo

• Psychologist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.