DR. R ELIZABETH ROEBUCK (PH.D.) – Counseling Psychologist, NPI 1689657348

DR. R ELIZABETH ROEBUCK (PH.D.) is a healthcare provider. based in Newton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2965 (MA). The NPI Number for DR. R ELIZABETH ROEBUCK (PH.D.) is 1689657348

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. R ELIZABETH ROEBUCK (PH.D.)
NPI
1689657348
Phone
(617) 965-0806
Address
36 OAK CLIFF RD
Enumeration Date
26 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
3173693587
Professional Enrollment ID
I20080528000190
Address ID
MA024602325Ne36XXXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. R ELIZABETH ROEBUCK (PH.D.)

  • 36, Oak Cliff Road, Four Corners, Newtonville, Newton, Middlesex County, Massachusetts, 02460, United States

    NEWTON, MA 024602325

    Phone: (617) 965-0806

    Mailing address matches the actual address.

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: 2008-05-28

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
I20080528000190IClinical PsychologistMATBD

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 02460)

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Reviews

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Frequently asked questions

How do I look up DR. R ELIZABETH ROEBUCK (PH.D.) by NPI?
Use NPI 1689657348 when you need to reference DR. R ELIZABETH ROEBUCK (PH.D.) in forms, claims, or directories.
Is DR. R ELIZABETH ROEBUCK (PH.D.) active in the national directory?
DR. R ELIZABETH ROEBUCK (PH.D.)'s public NPI profile is in an active state.
What does DR. R ELIZABETH ROEBUCK (PH.D.) treat or focus on?
Patients typically see DR. R ELIZABETH ROEBUCK (PH.D.) under the specialty Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. R ELIZABETH ROEBUCK (PH.D.)?
We surface Newton, Massachusetts for DR. R ELIZABETH ROEBUCK (PH.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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