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DR. MARY KATHLEEN ROBERSON PH.D.
NPI 1992775704
Psychologist - Health Service in Oak Ridge, TN

Active since January 24, 2006
665 EMORY VALLEY RD, STE. A, OAK RIDGE, TN 37830(865) 482-0981(865) 482-0959 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Kathleen Roberson Ph.d. NPPES

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

DR. MARY KATHLEEN ROBERSON PH.D. (NPI 1992775704) is an individual health service provider in Oak Ridge, Tennessee, licensed in Tennessee (P-1349) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1992775704
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. MARY KATHLEEN ROBERSONCredential: PH.D.
Location Address665 EMORY VALLEY RD, STE. AOak Ridge, TN 37830-7762
Mailing AddressPo Box 6408Oak Ridge, TN 37831-3733 · (865) 482-0981 · Fax (865) 482-0959
Phone(865) 482-0981
Fax(865) 482-0959
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1992775704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in TN · P-1349
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).
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License P-1349 (TN)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License P-1349 (TN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License P-1349 (TN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License P-1349 (TN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License P-1349 (TN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License P-1349 (TN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License P-1349 (TN)
Also ListedMassage TherapistTaxonomy 225700000X · License 4367660 (TN)

Other Identifiers 1

Medicaid3687063TN

Other Providers at the Same Location NPPES

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

MRS. AILENE FAY RADCLIFFE LMT
Community Health Worker
665 EMORY VALLEY RD, STE. A
OAK RIDGE, TN 37830
Anderson County (865) 482-0981

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 Mary Roberson's NPI number?

The NPI number for Mary Roberson is 1992775704. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Mary Roberson located?

Mary Roberson practices at 665 Emory Valley Rd Ste. A, Oak Ridge, TN 37830. The listed phone number is (865) 482-0981.

What is Mary Roberson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Roberson 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.