Individual provider Active NPI

Roxanne Marie Christensen, PSYD

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1962836890
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019262 Issued in MI
Practice address
2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1413
Phone
(248) 218-0622
Fax
(248) 218-0612
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6351001879 MI
Psychologist 103T00000X 6301019262 MI
Clinical Psychologist 103TC0700X 6301017022 MI
Student in an Organized Health Care Education/Training Program 390200000X 6301015091 MI
Clinical Psychologist 103TC0700X 6301019262 MI Primary

Addresses

Primary practice location

2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1413

Mailing address

2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1413
Phone (248) 218-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622001213 MI Practitioner - Clinical Psychologist 8325406440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6351001879MIMDPsychologist
6301017022MIMDClinical Psychologist
6301015091MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Aloe Integrative Psychology Group, PLLC Clinical CurrentSince May 1, 2023 Accepting new patients

Locations

2490 Walton Blvd
Ste 205
Rochester Hills, MI 48309
Phone (248) 218-0588

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.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1962836890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091413",
            "telephone_number": "248-218-0599",
            "fax_number": "248-218-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091413",
            "telephone_number": "248-218-0622",
            "fax_number": "248-218-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351001879",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019262",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017022",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "6301015091",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.