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Shirley Roark, PH.D.
NPI 1417003104 · Clinical Psychologist · Indio, CA
Shirley Roark, PH.D. is a Clinical Psychologist provider in Indio, CA (NPI 1417003104).
Provider details
- NPI number
- 1417003104
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY17934 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
83203 Indio Blvd
Suite 2
Indio, CA 92201-4700
Phone: (760) 342-1420
Fax: (760) 342-1429
Street-level locationGet directions
Mailing address
3250 Wilshire Blvd
Los Angeles, CA 90010-1438
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shirley Roark's NPI number?
- Shirley Roark's National Provider Identifier (NPI) is 1417003104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shirley Roark's specialty?
- Shirley Roark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shirley Roark located?
- Shirley Roark's practice location on file with NPPES is 83203 Indio Blvd, Indio, CA 92201-4700.
- What is Shirley Roark's phone number?
- The practice phone number listed in the NPPES registry for Shirley Roark is (760) 342-1420.
- Is Shirley Roark's NPI active?
- Yes — Shirley Roark's NPI (1417003104) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.