ALEXANDRA SIMONE ROAK PHD
NPI 1306493663
Psychologist in Charlotte, NC

Active since August 21, 2019PECOS Enrolled
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-0101 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 20 more (23 updates tracked since 2019).

About Alexandra Simone Roak Phd NPPES

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

ALEXANDRA SIMONE ROAK PHD (NPI 1306493663) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (5777) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306493663
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALEXANDRA SIMONE ROAKCredential: PHD
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateAugust 21, 2019
Last NPPES UpdateJuly 15, 202423 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1306493663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 5777
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 4

Location 19625 Northcross Center Ct, Ste 102Huntersville, NC 28078-7348 · Phone (704) 381-8840
Location 21781 Tate Blvd SEHickory, NC 28602-4251 · Phone (704) 381-8840
Location 31001 Blythe Blvd, Ste 500Charlotte, NC 28203-5866 · Phone (704) 373-1813
Location 41001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Simone Roak Phd 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 Reassignments

3

Medicare enrollment records show Alexandra Roak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Hematology-Oncology
1001 BLYTHE BLVD, STE 601A
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Gastroenterology
1025 MOREHEAD MEDICAL DR, STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group

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

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.

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Alexandra Roak's NPI number?

The NPI number for Alexandra Roak is 1306493663. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Alexandra Roak located?

Alexandra Roak practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-0101.

What is Alexandra Roak's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alexandra Roak enrolled in Medicare?

Yes. Alexandra Roak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexandra Roak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Roak reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Physicians Network, Inc. (Charlotte, NC). Each 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 Alexandra Roak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Roak accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Alexandra Roak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Roak was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.