Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jeremy B Roark, PH.D.

Psychologist in Ada, MI · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578860193

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Registry record

Entity type Individual (Type 1)

Name Dr. Jeremy B Roark

Credential PH.D.

Sex Male

Practice address Ada, MI, 49301

Phone (805) 570-7688

Enumeration date Feb 16, 2011

Last updated in NPPES Feb 1, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License PSY 24012 (CA) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1578860193 active?

Yes, as of the latest NPPES snapshot, NPI 1578860193 is active (record last updated 2024-02-01).

How do I verify Jeremy Roark's NPI record?

Cross-check NPI 1578860193 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-01.