DR. PAUL JOSEPH ROBERTS (NPI# 1922042647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922042647 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOSEPH ROBERTS |
| Credential | PH.D. |
| Practice Address |
1907 W Sycamore St Kokomo IN 46901-4113 |
| Mailing Address |
1630 W. Carter Kokomo IN 46902 |
| Practice Telephone | 7654565900 |
| Practice Fax Number | 7654565815 |
| Mailing Telephone | 7654520912 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040614A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1811030125 | Paul Steven Roberts | Dentist | 490 A Main Street, New Rochelle, NY 10801-6304 | 2007-02-15 |
| 1326109547 | Paul H Roberts | Optometrist | 1348 W Erie Ave, Philadelphia, PA 19140-4254 | 2006-12-12 |
| 1902996713 | Paul Roberts | Emergency Medicine | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3401 | 2006-10-13 |
| 1801800206 | Paul M Roberts | Dentist | 2 Amelia Dr, Nantucket, MA 02554-6064 | 2006-07-28 |
| 1689602658 | Paul Joseph Roberts | Nutritionist | 3540 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-2276 | 2006-06-29 |
| 1609416627 | Paul L Roberts | Peer Specialist | 1435 Ne 4th St Ste B, Bend, OR 97701-4268 | 2020-01-07 |
| 1538620844 | Paul M Roberts | Registered Nurse | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2019-03-28 |
| 1902392939 | Paul Russell Roberts | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-02 |
| 1104357946 | Paul Roberts | General Practice | 2001 W 68th St, Suite 202, Hialeah, FL 33016-1801 | 2017-03-23 |
| Street Address |
1907 W SYCAMORE ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313890 | Susan E Krier | Psychiatry & Neurology | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2005-08-11 |
| 1548896210 | Lana Wells | Nurse Practitioner | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2020-03-13 |
| 1750929592 | Sharon Isaacs | Registered Nurse | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2019-12-11 |
| 1528615796 | Emily R Denney | Physician Assistant | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2019-08-22 |
| 1568019230 | Benjamin York Constable | Physician Assistant | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2019-08-19 |
| 1306348040 | Toni Sue Vollmer | Nurse Practitioner | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2018-03-07 |
| 1851816656 | Lacey Diane Maul | Emergency Medicine | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-08-14 |
| 1043744451 | Amy Lynn Hemmelgarn | Physician Assistant | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-04-13 |
| 1720528383 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-03-01 |
| 1316394992 | Alexander Facista | Family Medicine | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505538 | John Pierre Rudy | Psychologist | 3464 Cinnamon Trce, Kokomo, IN 46901-3981 | 2019-09-02 |
| 1043496060 | Kokomo Academy | Psychologist | 623 S Berkley Rd, Kokomo, IN 46901-5150 | 2008-01-22 |
| 1538170188 | Scott Andrew Edwards | Psychologist | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2006-08-10 |
| 1265869804 | Judey M Anders | Psychologist | 1531 Rockford Ct, Kokomo, IN 46902-3207 | 2013-09-27 |
| 1154762664 | Aimee Dershowitz | Psychologist | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2013-07-12 |
| 1245271907 | Patrick Mario Webb | Psychologist | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1154942340 | Craig Allan Nordstrom | Psychologist | 111 E Clearwater Ave, Beverly Shores, IN 46301-0056 | 2020-04-29 |
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1568001469 | Monica Anne Cotter | Psychologist | Adam Benjamin Jr. Va Outpatient Clinic, 9301 Madison, Crown Point, IN 46307-4630 | 2019-12-26 |
| 1265995500 | Jamie Garvey | Psychologist | Saint Liam Hall, 220 Main Buildig, Notre Dame, IN 46556 | 2019-04-12 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
| 1215403167 | Sean Kristen Jones | Psychologist | 11725 N Illinois St Ste 355, Carmel, IN 46032-3009 | 2018-10-18 |
| 1053894501 | Thrive Psychology Services, LLC | Psychologist | 4120 W Dresden Dr, Bloomington, IN 47404-8403 | 2018-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.