DR. ANGIE CORETTA ROBERTS (PH.D.) – Psychologist, NPI 1629230271

DR. ANGIE CORETTA ROBERTS (PH.D.) is a healthcare provider. based in Newport news, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 0811001007 (VA). The NPI Number for DR. ANGIE CORETTA ROBERTS (PH.D.) is 1629230271

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGIE CORETTA ROBERTS (PH.D.)
NPI
1629230271
Phone
(757) 689-9380
Address
1030 LOFTIS BLVD STE 103
Enumeration Date
25 June 2008
Last Update Date
18 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
1850888496
Professional Enrollment ID
I20251016001639
Address ID
VA236663641Ha4715XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for DR. ANGIE CORETTA ROBERTS (PH.D.)

  • 1030 LOFTIS BLVD STE 103

    NEWPORT NEWS, VA 236062999

    Phone: (757) 689-9380

    Type: Mailing

  • PO BOX 5384

    NEWPORT NEWS, VA 236050384

    Phone: (757) 595-1608

    Type: Mailing

  • 706, Todds Lane, Hilton Village, Newport News, Newport News City, Virginia, 23666, United States

    HAMPTON, VA 236661847

    Phone: (757) 595-1608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-10-16

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
I20251016001639IClinical PsychologistVATBD

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 23606)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. ANGIE CORETTA ROBERTS (PH.D.) by NPI?
Use NPI 1629230271 when you need to reference DR. ANGIE CORETTA ROBERTS (PH.D.) in forms, claims, or directories.
Is DR. ANGIE CORETTA ROBERTS (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ANGIE CORETTA ROBERTS (PH.D.) work in?
You can think of DR. ANGIE CORETTA ROBERTS (PH.D.) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANGIE CORETTA ROBERTS (PH.D.)?
The page summarizes Newport News, Virginia for DR. ANGIE CORETTA ROBERTS (PH.D.); expand the address list for detail.
Is DR. ANGIE CORETTA ROBERTS (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1629230271. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

9, Locust Run, Poquoson, Virginia, 23662, United States
NPI: 1821082397

F CAL ROBINSON (PSYD)

Clinical Psychologist
2844 E LAKE SHORE DR
NPI: 1083676977
McManus Boulevard, Newport News, Virginia, 23602, United States
NPI: 1942225008
McManus Boulevard, Newport News, Virginia, 23602, United States
NPI: 1447341615

Unknown Individual

Psychologist
525, Oyster Point Road, Wendwood, Newport News, Virginia, 23602, United States
NPI: 1891884623

Unknown Individual

Psychologist
Denbigh, Newport News, Virginia, 23802, United States
NPI: 1386726784
6022, Jefferson Avenue, Huntington Heights, Newport News, Newport News City, Virginia, 23605, United States
NPI: 1669631883

DR. LYNN WARNER (PH.D.)

Clinical Neuropsychologist
4040 HANCOCK ST APT 1006
NPI: 1710143086