Active NPI
Michelle E. Roley-Roberts, M.A.
- Psychologist
- Omaha, NE
National Provider Identifier
1962889956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 983
- Practice address
- 7101 Newport Ave
Omaha, NE 68152-2164 - Phone
- (402) 572-2916
- Fax
- (402) 572-3258
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 983 | NE | Primary |
Addresses
Primary practice location
7101 Newport Ave
Omaha, NE 68152-2164
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6248
Other names 1
- Michelle E Roley
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)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 983 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1962889956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311",
"telephone_number": "402-398-6248",
"fax_number": "402-829-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 NEWPORT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681522164",
"telephone_number": "402-572-2916",
"fax_number": "402-572-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLEY-ROBERTS",
"first_name": "MICHELLE",
"middle_name": "E.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ROLEY",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.