DR. JEREMY B ROARK PH.D.
NPI 1578860193
Psychologist in Ada, MI
About Dr. Jeremy B Roark Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY B ROARK PH.D. (NPI 1578860193) is an individual psychologist in Ada, Michigan, licensed in California (PSY 24012) and active in the NPI registry since February 2011.
NPPES Registry Identity
Specialties & Licenses
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 Jeremy Roark's NPI number?
The NPI number for Jeremy Roark is 1578860193. It was assigned to this individual provider in the NPPES registry on February 16, 2011.
Where is Jeremy Roark located?
Jeremy Roark practices at 2650 Shumac Ln SE, Ada, MI 49301. The listed phone number is (805) 570-7688.
What is Jeremy Roark's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Jeremy Roark was last updated on February 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.