EILEEN DENISE ROBERTS PHD
NPI 1447309216
Psychologist - Clinical in Cloverdale, CA
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Eileen Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Eileen Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Roberts reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Eileen Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eileen Roberts accept?
Health plans from UnitedHealthcare list Eileen Roberts 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 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 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.
# Eileen Denise Roberts, PHD · NPI 1447309216
Clinical provider in Cloverdale, California. Individual provider, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1447309216 (Entity type: Individual)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY21296 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1123 S CLOVERDALE BLVD # 112, Cloverdale, CA 95425-4402
- **Phone:** (707) 867-6635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447309216) · Data from the CMS NPPES public registry.