Jody Z Roberts, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC37412 Issued in CA

Practice address

919 The Alameda
Berkeley, CA 94707-2301

Phone

(510) 507-4167

Fax

(510) 525-7789

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other names 1

• Ms. Jody Z Roberts Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952461378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "510-507-4167",
            "fax_number": "510-525-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "510-507-4167",
            "fax_number": "510-525-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JODY",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "ROBERTS",
            "middle_name": "Z",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Briana Robertori, PSYD
• Roberts House of Restoration
• Abia-Imo Eyire Roberts
• Alison Roberts, C.N.M.
• Hannah Roberts
• Katelyn Elizabeth Roberts, PHD, MDIV, MSW, LCSW
• Liliana Roberts, PMHNP
• Alice Natalie Robinson, L.M.F.T.
• Jade Victoria Robinson, NP
• Jamie Limor Robinson, LMFT

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.