Organization Active NPI

Nicole Roberts PHD PLLC

  • Counseling Psychologist
  • McKinney, TX
National Provider Identifier
1992086177
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
32840 Issued in TX
Legal business name
NICOLE ROBERTS PHD PLLC
Practice address
4903 S Meadow Ridge Cir
McKinney, TX 75070-5249
Phone
(469) 450-8288
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Nicole RobertsNPI 1598046765
Title
Psychologist
Phone
(469) 450-8288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 32840 TX Primary

Addresses

Primary practice location

4903 S Meadow Ridge Cir
McKinney, TX 75070-5249

Mailing address

4903 S Meadow Ridge Cir
McKinney, TX 75070-5249

Other identifiers 1

IdentifierTypeStateIssuer
1598046765OtherTXNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1992086177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 S MEADOW RIDGE CIR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 S MEADOW RIDGE CIR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705249",
            "telephone_number": "469-450-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE ROBERTS PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-450-8288"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598046765",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.