DR. ROBERTA BASSETT CORSON PH.D.
NPI 1881802080
Psychologist - Adult Development & Aging in San Jose, CA

Q: What is Roberta Corson's NPI number?

The NPI number for Roberta Corson is 1881802080. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Q: What is Roberta Corson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Corson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 May 19, 2007PECOS Enrolled

4010 MOORPARK AVE, SUITE 206, SAN JOSE, CA 95117(408) 247-1774 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Roberta Bassett Corson Ph.d. NPPES

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

DR. ROBERTA BASSETT CORSON PH.D. (NPI 1881802080) is an individual adult development & aging provider in San Jose, California, licensed in California (PSY18128) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881802080

Entity TypeIndividualFemale

Primary Taxonomy103TA0700X

Provider Legal NameDR. ROBERTA BASSETT CORSONCredential: PH.D.

Location Address4010 MOORPARK AVE, SUITE 206San Jose, CA 95117-4101

Mailing Address4010 Moorpark Ave, Suite 206San Jose, CA 95117-4101 · (408) 247-1774

Phone(408) 247-1774

Sole ProprietorYes

Enumeration DateMay 19, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1881802080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers

Taxonomy Code103TA0700X

License✔ Licensed in CA · PSY18128

Definition

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY18128 (CA)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY18128 (CA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roberta Bassett Corson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

LIANA MEHAWEJ CCC-SLP

Speech-Language Pathologist

4010 MOORPARK AVE, SUITE 117
SAN JOSE, CA 95117

Santa Clara County (408) 249-0770

SEAN LEWIS HODSON AMFT

Marriage & Family Therapist

4010 MOORPARK AVE
SAN JOSE, CA 95117

Santa Clara County (650) 297-3400

MERLIN ELIZABETH CHERIAN

Speech-Language Pathologist

4010 MOORPARK AVE
SAN JOSE, CA 95117

Santa Clara County (408) 249-0770

ALICIA TEETER CCC

Speech-Language Pathologist

4010 MOORPARK AVE, 117
SAN JOSE, CA 95117

Santa Clara County (408) 249-0770

SHARON SPIELER M.S., SLP

Speech-Language Pathologist

4010 MOORPARK AVE, 117
SAN JOSE, CA 95117

Santa Clara County (408) 249-0770

MS. KAREN YVONNE TAYLOR MFC

Marriage & Family Therapist

4010 MOORPARK AVE, SUITE 118
SAN JOSE, CA 95117

Santa Clara County (408) 455-8220

MARI-ELENA DURAND

Speech-Language Pathologist

4010 MOORPARK AVE, 117
SAN JOSE, CA 95117

Santa Clara County (408) 249-0770

GESINA PAGAN SLP

Speech-Language Pathologist

4010 MOORPARK AVE, 117
SAN JOSE, CA 95117

Santa Clara County (208) 249-0770

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 Corson's NPI number?

The NPI number for Roberta Corson is 1881802080. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Roberta Corson located?

Roberta Corson practices at 4010 Moorpark Ave Suite 206, San Jose, CA 95117. The listed phone number is (408) 247-1774.

What is Roberta Corson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Roberta Corson enrolled in Medicare?

Yes. Roberta Corson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberta Corson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.