EILEEN DENISE ROBERTS PHD
NPI 1447309216
Psychologist - Clinical in Cloverdale, CA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
1123 S CLOVERDALE BLVD # 112, CLOVERDALE, CA 95425(707) 867-6635 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Nov 26, 2018 (2 updates tracked since 2018).

About Eileen Denise Roberts Phd NPPES

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

EILEEN DENISE ROBERTS PHD (NPI 1447309216) is an individual clinical provider in Cloverdale, California, licensed in California (PSY21296) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1447309216
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameEILEEN DENISE ROBERTSCredential: PHD
Location Address1123 S CLOVERDALE BLVD # 112Cloverdale, CA 95425-4402
Mailing Address1123 S Cloverdale Blvd # 112Cloverdale, CA 95425-4402 · (707) 867-6635
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 9, 2007
Last NPPES UpdateNovember 1, 20242 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
NPI 1447309216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CA · PSY21296 Licensed in CA · PSY21286
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.
1123 S CLOVERDALE BLVD # 112, Cloverdale, CA 95425

Other Names 1

Professional Name (2)Eileen Roberts Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eileen Denise Roberts Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719083062
PECOS Enrollment IDI20070502000293
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95425 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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

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

Psychologist
1123 S CLOVERDALE BLVD # 112
CLOVERDALE, CA 95425

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 Eileen Roberts's NPI number?

The NPI number for Eileen Roberts is 1447309216. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Eileen Roberts Phd.

Where is Eileen Roberts located?

Eileen Roberts practices at 1123 S Cloverdale Blvd # 112, Cloverdale, CA 95425. The listed phone number is (707) 867-6635.

What is Eileen Roberts's specialty?

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

Is Eileen Roberts enrolled in Medicare?

Yes. Eileen Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eileen Roberts was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.