MICHAEL BRUCE ROBERTS (NPI# 1114465242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114465242 |
| Entity Type | Individual |
| Full Name | MICHAEL BRUCE ROBERTS |
| Credential | PSY.D. |
| Practice Address |
401 Haddon Ave Fl 3 Camden NJ 08103-1505 |
| Practice Telephone | 8567577719 |
| Mailing Telephone | 8567577719 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35SI00573200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| 1073993390 | Michael James Roberts | Counselor | 906 Vernon Dr, Jacksonville, NC 28540-7416 | 2015-06-02 |
| 1992101901 | Michael Roberts | Chiropractor | 2704 Milam St, Suite 5, Houston, TX 77006-3549 | 2014-11-18 |
| 1881937621 | Michael E Roberts | Psychologist | 920 Lido Ln, Foster City, CA 94404-2934 | 2013-03-29 |
| 1508062803 | Michael William Roberts II | Anesthesiology | 430 W Symmes St, Norman, OK 73069 | 2007-06-23 |
| 1386862332 | Michael K Roberts | Chiropractor | 2001 Westbay Drive, Largo, FL 33770 | 2007-04-23 |
| 1144356312 | Michael Ray Roberts | Dentist | 304 N Chancery St, Mc Minnville, TN 37110-2048 | 2007-02-24 |
| 1811061559 | Michael Carl Roberts | Chiropractor | 12745 Lexington St, Huntingdon, TN 38344-3720 | 2006-11-17 |
| 1972691368 | Michael Patrick Roberts | Internal Medicine | 1001 College Blvd W Ste D, Niceville, FL 32578-1049 | 2006-10-11 |
| 1033126479 | Michael Roberts | Psychologist | 6 W 77th St, Suite 1b, New York, NY 10024-5125 | 2006-08-01 |
| Street Address |
401 HADDON AVE FL 3 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831221944 | Debra L Davenport | Psychologist | 198 W Main St, Camden, TN 38320-1609 | 2007-03-12 |
| 1043229487 | Sabine S. Falls | Psychologist | 530 Jefferson St Sw, Camden, AR 71701-3952 | 2006-08-05 |
| 1285666321 | Vicky L Willey | Psychologist | 39 Mechanic St, Suite 221, Camden, ME 04843-1842 | 2006-07-07 |
| 1467499749 | Gregory M Chilenski | Psychologist | 71 Elm St, Camden, ME 04843-1904 | 2006-06-02 |
| 1497224414 | Michael Deangelo | Psychologist | 3 Cooper Plz Rm 513, Camden, NJ 08103 | 2018-11-20 |
| 1275001646 | Christina L. Goodwin | Psychologist | 3 Cooper Plz Rm 307, Camden, NJ 08103 | 2018-11-05 |
| 1427537489 | Neuza Serra | Psychologist | 326 Penn St, Camden, NJ 08102-1410 | 2018-08-10 |
| 1619480795 | Anastasia Jean Bullock | Psychologist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-11-10 |
| 1104281112 | Merin Campbell | Psychologist | 3 Cooper Plz, Cooper Neurological Institute, Camden, NJ 08103-1438 | 2015-12-17 |
| 1801265483 | Elizabeth Saslow | Psychologist | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2015-09-24 |
| Find all providers in CAMDEN | ||||
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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.