KABITA ROY PSYD RN
NPI 1154678936
Psychologist - Addiction (Substance Use Disorder) in Center City, MN

Q: What is Kabita Roy's NPI number?

The NPI number for Kabita Roy is 1154678936. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Q: What is Kabita Roy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kabita Roy was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 10, 2012PECOS Enrolled

15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012(651) 213-4184 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kabita Roy Psyd Rn NPPES

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

KABITA ROY PSYD RN (NPI 1154678936) is an individual addiction (substance use disorder) provider in Center City, Minnesota, licensed in Minnesota (LP 5514) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1154678936

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameKABITA ROYCredential: PSYD RN

Location Address15251 PLEASANT VALLEY RDCenter City, MN 55012-9640

Mailing Address15251 Pleasant Valley RdCenter City, MN 55012-9640 · (651) 213-4184

Phone(651) 213-4184

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 10, 2012

✔ NPI 1154678936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in MN · LP 5514

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

15251 PLEASANT VALLEY RD, Center City, MN 55012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kabita Roy Psyd Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416172739

PECOS Enrollment IDI20140630001679

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.

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.

HOLLY LEIGH PEDERSON

Student in an Organized Health Care Education/Training Program