DR. NORMAN WERNER ROACH PH.D.
NPI 1881742005
Psychologist - Clinical in Tustin, CA

Q: What is Norman Roach's NPI number?

The NPI number for Norman Roach is 1881742005. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Norman Roach's specialty?

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

Q: Is Norman Roach enrolled in Medicare?

No. Norman Roach has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Norman Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 05, 2007Opted out of Medicare · through Oct 1, 2026

190 EL CAMINO REAL REAR, TUSTIN, CA 92780(714) 731-6644(714) 389-9329 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Norman Werner Roach Ph.d. NPPES

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

DR. NORMAN WERNER ROACH PH.D. (NPI 1881742005) is an individual clinical provider in Tustin, California, licensed in California (PSY6594) and active in the NPI registry since January 2007. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1881742005

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NORMAN WERNER ROACHCredential: PH.D.

Location Address190 EL CAMINO REAL REARTustin, CA 92780-3602

Mailing Address190 El Camino Real RearTustin, CA 92780-3602 · (714) 731-6644 · Fax (714) 389-9329

Phone(714) 731-6644

Fax(714) 389-9329

Sole ProprietorYes

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1881742005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY6594

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.

190 EL CAMINO REAL REAR, Tustin, CA 92780

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Other Identifiers 1

Medicare ID-Type UnspecifiedCP6594CA · Medicare Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Norman Werner Roach Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Norman Roach's NPI number?

The NPI number for Norman Roach is 1881742005. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Norman Roach located?

Norman Roach practices at 190 El Camino Real Rear, Tustin, CA 92780. The listed phone number is (714) 731-6644.

What is Norman Roach's specialty?

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

Is Norman Roach enrolled in Medicare?

No. Norman Roach has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Norman Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.