JUDITH ROBERTS
NPI 1902474471
Psychologist - Clinical in Santa Cruz, CA

Q: What is Judith Roberts's NPI number?

The NPI number for Judith Roberts is 1902474471. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Judith Roberts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judith Roberts was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 11, 2021PECOS Enrolled

1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4100(831) 454-4488 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Jun 11, 2021 (2 updates tracked since 2021).

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About Judith Roberts NPPES

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

JUDITH ROBERTS (NPI 1902474471) is an individual clinical provider in Santa Cruz, California, licensed in California (34665) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902474471

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJUDITH ROBERTS

Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966

Mailing Address1080 Emeline AveSanta Cruz, CA 95060-1966 · (831) 454-4100 · Fax (831) 454-4488

Phone(831) 454-4100

Fax(831) 454-4488

Sole ProprietorNo

Enumeration DateJune 11, 2021

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1902474471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 34665

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.

Also ListedBehavior AnalystTaxonomy 103K00000X

1080 EMELINE AVE, Santa Cruz, CA 95060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Roberts 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.

Medicare Billing Reassignment

Medicare enrollment records show Judith Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Cruz

Same address

Federally Qualified Health Center (FQHC)

1080 EMELINE AVE
Santa Cruz, CA 95060

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1578680310 (831) 454-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$186.69 typical visit price

range $62.97 – $186.69

Typical copayment $46.67 (range $15.74 – $46.67)

Most-billed visit code 99205

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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