Active NPI
Roxana Kaye Andrews, PH. D
- Clinical Psychologist
- Alturas, CA
National Provider Identifier
1942529979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 22167
- Practice address
- 139 Henderson St
Alturas, CA 96101-3921 - Phone
- (530) 233-7110
- Fax
- (530) 233-5531
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22167 | CA | Primary |
Addresses
Primary practice location
139 Henderson St
Alturas, CA 96101-3921
Mailing address
139 Henderson St
Alturas, CA 96101-3921
Phone (530) 233-7110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22167 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modoc County Office of Education | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Alturas, CA
- NPI 1205986429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1942529979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 HENDERSON ST",
"city": "ALTURAS",
"state": "CA",
"postal_code": "961013921",
"telephone_number": "530-233-7110",
"fax_number": "530-233-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 HENDERSON ST",
"city": "ALTURAS",
"state": "CA",
"postal_code": "961013921",
"telephone_number": "530-233-7110",
"fax_number": "530-233-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ROXANA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alturas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.