Roller Psychology, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

524 Issued in ND

Legal business name

ROLLER PSYCHOLOGY, PLLC

Practice address

16771 15TH St NE
Buxton, ND 58218-9239

Phone

(701) 792-6488

Fax

(701) 335-7100

NPI assigned

Sep 18, 2017

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kylee J. Roller, PH.D.NPI 1750415873

Title

Psychologist

Phone

(701) 792-6488

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kylee J Roller, PH.D.

  • Psychologist
  • Buxton, ND
  • NPI 1750415873
  Authorized official Same address or phone

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1902325319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16771 15TH ST NE",
            "city": "BUXTON",
            "state": "ND",
            "postal_code": "582189239",
            "telephone_number": "701-792-6488",
            "fax_number": "701-335-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16771 15TH ST NE",
            "city": "BUXTON",
            "state": "ND",
            "postal_code": "582189239",
            "telephone_number": "701-792-6488",
            "fax_number": "701-335-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLER PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-792-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ND",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee J Roller, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Buxton, ND
• Providers in Buxton, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.