ROBERT J. RITZEMA PH.D.
NPI 1770612657
Psychologist - Health Service in Fayetteville, NC

Q: What is Robert Ritzema's NPI number?

The NPI number for Robert Ritzema is 1770612657. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Robert Ritzema's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ritzema was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 05, 2007PECOS EnrolledAccepts Medicare Assignment

114 HIGHLAND AVE, FAYETTEVILLE, NC 28305(910) 484-0176(910) 484-5781 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert J. Ritzema Ph.d. NPPES

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

ROBERT J. RITZEMA PH.D. (NPI 1770612657) is an individual health service provider in Fayetteville, North Carolina, licensed in North Carolina (791) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1770612657

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameROBERT J. RITZEMACredential: PH.D.

Location Address114 HIGHLAND AVEFayetteville, NC 28305-5306

Mailing Address901 Arsenal Ave, Ste 202Fayetteville, NC 28305-5478 · (910) 323-3368 · Fax (910) 486-7000

Phone(910) 484-0176

Fax(910) 484-5781

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateMarch 5, 2007

Last NPPES UpdateJanuary 30, 2018

✔ NPI 1770612657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in NC · 791

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

114 HIGHLAND AVE, Fayetteville, NC 28305

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Other Identifiers 3

Other04488NC · Bcbs

OtherC7486NC · Medcost

Medicaid6000313NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Robert J. Ritzema Ph.d. 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 ID9234303637

PECOS Enrollment IDI20120823000881

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.

Other Providers at the Same Location NPPES 20

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

MELISSA MARTHA REED CMHC

Counselor (Professional)