MS. ROBERTA JO THEIS MSE
NPI 1609920164
Psychologist in Minneapolis, MN

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
ROBERTA J THEIS, 8010 60TH AVE. NORTH, MINNEAPOLIS, MN 55428(763) 208-3784(763) 208-3784 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Roberta Jo Theis Mse NPPES

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

MS. ROBERTA JO THEIS MSE (NPI 1609920164) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP1134) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1609920164
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ROBERTA JO THEISCredential: MSE
Location AddressROBERTA J THEIS, 8010 60TH AVE. NORTHMinneapolis, MN 55428
Mailing AddressRoberta J Theis, 8010 60th Ave. NorthMinneapolis, MN 55428 · (763) 208-3784 · Fax (763) 208-3784
Fax(763) 208-3784
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 22, 2007
Last NPPES UpdateApril 3, 2019
NPI 1609920164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP1134
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 08691 (MN)
ROBERTA J THEIS, Minneapolis, MN 55428

Other Identifiers 3

Other40G40THMN · Individual Blue Cross Blu
Other40G39THMH · Group Blue Cross Blue Shi
Medicaid622252800MN

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

Ms. Roberta Jo Theis Mse 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 ID1759621048
PECOS Enrollment IDI20190729000320
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.

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 Roberta Theis's NPI number?

The NPI number for Roberta Theis is 1609920164. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Roberta Theis located?

Roberta Theis practices at Roberta J Theis 8010 60th Ave. North, Minneapolis, MN 55428. The listed phone number is (763) 208-3784.

What is Roberta Theis's specialty?

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

Is Roberta Theis enrolled in Medicare?

Yes. Roberta Theis 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 Roberta Theis was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.