Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538361365 Individual Practitioner Male Practitioner

Dr. John Ed Roe , PhD, MA

Psychologist • Cameron Park, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Roe, PhD, MA is a registered healthcare professional specializing in Psychologist in Cameron Park, CA. Practice services are available at 4120 CAMERON PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4120 Cameron Park Dr
Suite 301

Cameron Park, CA 956828480

Telephone 5306764445
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cameron Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Cameron Park, CA (7695 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA PSY 5769

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.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License CA MFT 6551

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan, Medicare
00PL57690 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Debra Ialeggio , MFT

Marriage & Family Therapist

NPI 1366562951

Marriage and Family Therapist

Marlene Woertz , MA, LMFT

Marriage & Family Therapist

NPI 1417161399

Master of Arts, Licensed Marriage and Family Therapist

Sharon Booth , MSW LCSW

Social Worker - Clinical

NPI 1487740346

MSWLCSW

Kay Williams , LMFT

Marriage & Family Therapist

NPI 1598897415

Licensed Marriage and Family Therapist

Merri Francis , LCSW

Social Worker - Clinical

NPI 1861576209

Licensed Clinical Social Worker

Dr. Beverly Scherf , PhD

Psychologist - Clinical

NPI 1891785648

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2009

Registered at 4120 CAMERON PARK DR, SUITE 301, CAMERON PARK, CA 956828480 (Tel: 5306764445)

📍
Updated Business Mailing Address March 09, 2009

Registered at 4120 CAMERON PARK DR, SUITE 301, CAMERON PARK, CA 956828480 (Tel: 5306764445)

👤
Provider Name / Credentials Updated March 09, 2009

Recorded as JOHN ROE, PH.D., M.A., M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2009

Psychologist (License #PSY 5769 in CA)

🟢
Initial NPI Registration & Enumeration June 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538361365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2007
Last Update: March 09, 2009
Sole Proprietor: Yes

Mailing Address

4120 Cameron Park Dr, Suite 301

Cameron Park, CA 956828480

Phone: 5306764445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.