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RONALD H ROBERTS PH.D.
NPI 1174909824
Psychologist - Forensic in Tiburon, CA

Active since August 05, 2015Opted out of Medicare · through Oct 1, 2026
1550 TIBURON BLVD # G1, TIBURON, CA 94920(415) 776-2000 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ronald H Roberts Ph.d. NPPES

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

RONALD H ROBERTS PH.D. (NPI 1174909824) is an individual forensic provider in Tiburon, California, licensed in California (PSY 8334) and active in the NPI registry since August 2015. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174909824
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameRONALD H ROBERTSCredential: PH.D.
Location Address1550 TIBURON BLVD # G1Tiburon, CA 94920-2564
Mailing Address2000 Van Ness Ave Ste 512San Francisco, CA 94109-3017 · (415) 776-2000
Phone(415) 776-2000
Sole ProprietorNo
Enumeration DateAugust 5, 2015
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1174909824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in CA · PSY 8334
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY 8334 (CA)
1550 TIBURON BLVD # G1, Tiburon, CA 94920
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ronald H Roberts Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Ronald Roberts's NPI number?

The NPI number for Ronald Roberts is 1174909824. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Ronald Roberts located?

Ronald Roberts practices at 1550 Tiburon Blvd # G1, Tiburon, CA 94920. The listed phone number is (415) 776-2000.

What is Ronald Roberts's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Ronald Roberts enrolled in Medicare?

No. Ronald Roberts has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ronald Roberts was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.