Idris Roberson
NPI 1639957277 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Glendale, AZ
Idris Roberson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Glendale, AZ (NPI 1639957277).
Provider details
- NPI number
- 1639957277
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 221509-14979 (AZ)
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-09-15
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Idris Roberson's NPI number?
- Idris Roberson's National Provider Identifier (NPI) is 1639957277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Idris Roberson's specialty?
- Idris Roberson is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Idris Roberson located?
- Idris Roberson's practice location on file with NPPES is 4494 W Peoria Ave Ste 101, Glendale, AZ 85302-2024.
- What is Idris Roberson's phone number?
- The practice phone number listed in the NPPES registry for Idris Roberson is (602) 687-2043.
- Is Idris Roberson's NPI active?
- Yes — Idris Roberson's NPI (1639957277) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.