Ethan Roberts
NPI 1497193585 · Student in an Organized Health Care Education/Training Program · El Cerrito, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Roberts is a Student in an Organized Health Care Education/Training Program provider in El Cerrito, CA (NPI 1497193585).
Provider details
- NPI number
- 1497193585
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2013-06-11
- Last updated
- 2022-02-11
Frequently asked questions
- What is Ethan Roberts's NPI number?
- Ethan Roberts's National Provider Identifier (NPI) is 1497193585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Roberts's specialty?
- Ethan Roberts is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ethan Roberts located?
- Ethan Roberts's practice location on file with NPPES is 722 Norvell St, El Cerrito, CA 94530-3246.
- What is Ethan Roberts's phone number?
- The practice phone number listed in the NPPES registry for Ethan Roberts is (510) 647-9836.
- Does Ethan Roberts accept Medicare?
- Ethan Roberts is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Roberts's NPI active?
- Yes — Ethan Roberts's NPI (1497193585) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.