Active NPI
Kerry K Roberts-Manson, PH.D
- Clinical Neuropsychologist
- Reno, NV
National Provider Identifier
1992769962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY0346
- Practice address
- 427 Ridge St
Reno, NV 89501-1717 - Phone
- (775) 322-0111
- NPI assigned
- Apr 14, 2006
- 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 Neuropsychologist | 103G00000X | PY0346 | NV | Primary |
Addresses
Primary practice location
427 Ridge St
Reno, NV 89501-1717
Mailing address
427 Ridge St
Reno, NV 89501-1738
Phone (775) 322-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2616310 | Medicaid | NV |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0346 | NV | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992769962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 RIDGE ST",
"city": "RENO",
"state": "NV",
"postal_code": "895011738",
"telephone_number": "775-322-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 RIDGE ST",
"city": "RENO",
"state": "NV",
"postal_code": "895011717",
"telephone_number": "775-322-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-MANSON",
"first_name": "KERRY",
"middle_name": "K",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NV",
"license": "PY0346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2616310",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.