ANNA-MARIE ROLAND (PSYD) – Clinical Psychologist, NPI 1104606227

ANNA-MARIE ROLAND (PSYD) is a healthcare provider. based in Jacksonville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 11984 (FL). The NPI Number for ANNA-MARIE ROLAND (PSYD) is 1104606227

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANNA-MARIE ROLAND (PSYD)
NPI
1104606227
Phone
(904) 345-7210
Address
3901 UNIVERSITY BLVD S
Enumeration Date
5 October 2023
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048587606
Graduation Year
2022 (4 years ago)
PAC ID
4082060413
Group Practice PAC ID
4284664954
Professional Enrollment ID
I20231020003163
Address ID
FL322164312JA3901XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for ANNA-MARIE ROLAND (PSYD)

  • 3901 UNIVERSITY BLVD S

    JACKSONVILLE, FL 322164312

    Phone: (904) 345-7210

    Fax: (904) 345-7255

    Type: Location

  • 3599 UNIVERSITY BLVD S

    JACKSONVILLE, FL 322164252

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231020003163IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284664954View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistOR
-FL
Clinical PsychologistWI
Clinical PsychologistAL
Clinical PsychologistFL
Clinical PsychologistFL
-FL
-FL

Reviews

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Frequently asked questions

Does ANNA-MARIE ROLAND (PSYD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANNA-MARIE ROLAND (PSYD) uses 1104606227.
Does the file indicate ANNA-MARIE ROLAND (PSYD) is practicing under active NPI?
Directory data currently reports ANNA-MARIE ROLAND (PSYD) as active.
What is ANNA-MARIE ROLAND (PSYD)'s specialty?
The listing groups ANNA-MARIE ROLAND (PSYD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does ANNA-MARIE ROLAND (PSYD) list a practice location?
Patients near Jacksonville, Florida may find ANNA-MARIE ROLAND (PSYD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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