Dr Shirley Grace Roark, PHD - Psychologist in Indio, CA

Dr Shirley Grace Roark, PHD is a Psychologist - Clinical based in Indio, California. Dr Shirley Grace Roark is licensed to practice in California (license number PSY17934) and her current practice location is 83203 Indio Blvd, Suite 2, Indio, California. She can be reached at her office (for appointments etc.) via phone at (760) 342-1420.

NPI number for Dr Shirley Grace Roark is 1417003104 and her current mailing address is 3250 Wilshire Blvd, Suite 930, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417003104.

Contact Information

Dr Shirley Grace Roark, PHD
83203 Indio Blvd, Suite 2,
Indio, CA 92201-4700
(760) 342-1420
(760) 342-1429



Healthcare Provider's Profile

Full NameDr Shirley Grace Roark
GenderFemale
SpecialityPsychologist - Clinical
Location83203 Indio Blvd, Indio, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417003104
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Shirley Grace Roark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417003104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY17934 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shirley Grace Roark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shirley Grace Roark, PHD
3250 Wilshire Blvd, Suite 930,
Los Angeles, CA 90010-1438

Ph: (213) 739-0019
Dr Shirley Grace Roark, PHD
83203 Indio Blvd, Suite 2,
Indio, CA 92201-4700

Ph: (760) 342-1420

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› Verified 7 days ago


Psychologist in Indio, CA

Kami Elizabeth Bryant, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 47825 Oasis St, Indio, CA 92201
Phone: 760-863-8534    
Mrs. Rokhand Soltani,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 47915 Oasis St, Indio, CA 92201
Phone: 760-473-3187    
Prudencia Zavala,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 47915 Oasis St, Indio, CA 92201
Phone: 760-863-8600    
Dr. David Anthony Palmer, ED.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 81255 Sirocco Ave, Indio, CA 92201
Phone: 760-799-4031    
Dr. John R Bellinger, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 81135 Avenida Pamplona, Indio, CA 92203
Phone: 760-775-6654    
Dr. Julie A Madsen, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 82704 Sutton Dr, Indio, CA 92203
Phone: 760-342-3330    Fax: 888-333-5114

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