DR. IVORY M. ROBERTS-CLARKE PH.D.
NPI 1134137201
Psychologist - Clinical in Boston, MA

Q: What is Ivory Roberts-clarke's NPI number?

The NPI number for Ivory Roberts-clarke is 1134137201. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Ivory Roberts-clarke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 04, 2006PECOS Enrolled

500 COLUMBIA RD, BOSTON, MA 02125(617) 287-8000 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Ivory M. Roberts-clarke Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVORY M. ROBERTS-CLARKE PH.D. (NPI 1134137201) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (10446) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134137201

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. IVORY M. ROBERTS-CLARKECredential: PH.D.

Location Address500 COLUMBIA RDBoston, MA 02125-2322

Mailing Address500 Columbia RdBoston, MA 02125-2322 · (617) 287-8000

Phone(617) 287-8000

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateMarch 10, 2017

✔ NPI 1134137201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 10446

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

500 COLUMBIA RD, Boston, MA 02125

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivory M. Roberts-clarke Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ivory Roberts-clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC

546 mi

Mental Health

1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504

Reassigned Medicare billing, Massachusetts enrollment
250 clinicians in this Medicare group

NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY ALAN MODEST MD

Family Medicine

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 287-8000

JULIEANNE BURRIDGE RN

Registered Nurse

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 287-0684

DR. ELANA B. STEINBERG PH.D.

Psychologist

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 287-8000

CHAVELY RIJO RN

Registered Nurse

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 287-8000

MS. HELEN M ROMERO MSW LICSW

Social Worker (Clinical)

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 740-8155

MS. SHEILA KEITH R.N.

Registered Nurse

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 825-9206

DR. EDWARD RAPHAEL LEVY MD

Pediatrics (Adolescent Medicine)

500 COLUMBIA RD, MAILSTOP 415-03
DORCHESTER, MA 02125

Suffolk County (617) 287-8000

DR. DAVID STANLEY BUCZAK DMD

Dentist (General Practice)

500 COLUMBIA RD
DORCHESTER, MA 02125

Suffolk County (617) 287-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivory Roberts-clarke's NPI number?

The NPI number for Ivory Roberts-clarke is 1134137201. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Ivory Roberts-clarke located?

Ivory Roberts-clarke practices at 500 Columbia Rd, Boston, MA 02125. The listed phone number is (617) 287-8000.

What is Ivory Roberts-clarke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ivory Roberts-clarke enrolled in Medicare?

Yes. Ivory Roberts-clarke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivory Roberts-clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivory Roberts-clarke reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivory Roberts-clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivory Roberts-clarke was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.