What is Jeremy Roark's NPI number?

Jeremy Roark's National Provider Identifier (NPI) is 1578860193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeremy Roark's specialty?

Jeremy Roark is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Jeremy Roark located?

Jeremy Roark's practice location on file with NPPES is 2650 Shumac Ln Se, Ada, MI 49301-9355.

What is Jeremy Roark's phone number?

The practice phone number listed in the NPPES registry for Jeremy Roark is (805) 570-7688.

Is Jeremy Roark's NPI active?

Yes — Jeremy Roark's NPI (1578860193) is active in the NPPES registry as of the last update on 2024-02-01.

IndividualActive

Jeremy Roark, PH.D.

NPI 1578860193 · Psychologist · Ada, MI

Jeremy Roark, PH.D. is a Psychologist provider in Ada, MI (NPI 1578860193).

Provider details

NPI number: 1578860193
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: PSY 24012 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY 24012 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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

2650 Shumac Ln Se

Ada, MI 49301-9355

Phone: (805) 570-7688

Street-level locationGet directions

More MI providers

Mailing address