DR. SHIRLEY GRACE ROARK PH.D.
NPI 1417003104
Psychologist - Clinical in Indio, CA

Q: What is Shirley Roark's NPI number?

The NPI number for Shirley Roark is 1417003104. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Dr. Shirley Grace Roark Ph.D..

Q: What is Shirley Roark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shirley Roark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 26, 2007

83203 INDIO BLVD, SUITE 2, INDIO, CA 92201(760) 342-1420(760) 342-1429 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Shirley Grace Roark Ph.d. NPPES

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

DR. SHIRLEY GRACE ROARK PH.D. (NPI 1417003104) is an individual clinical provider in Indio, California, licensed in California (PSY17934) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417003104

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHIRLEY GRACE ROARKCredential: PH.D.

Location Address83203 INDIO BLVD, SUITE 2Indio, CA 92201-4700

Mailing Address3250 Wilshire Blvd, Suite 930Los Angeles, CA 90010-1438 · (213) 739-0019 · Fax (213) 739-0091

Phone(760) 342-1420

Fax(760) 342-1429

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417003104 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 CA · PSY17934

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.

83203 INDIO BLVD, Indio, CA 92201

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Other Names 1

Other Name (5)Dr. Shirley Grace Roark Ph.d.

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 Shirley Roark's NPI number?

The NPI number for Shirley Roark is 1417003104. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Dr. Shirley Grace Roark Ph.D..

Where is Shirley Roark located?

Shirley Roark practices at 83203 Indio Blvd Suite 2, Indio, CA 92201. The listed phone number is (760) 342-1420.

What is Shirley Roark's specialty?

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

When was this NPI record last updated?

The NPPES record for Shirley Roark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.