Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark West Roberts, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1336201342

Mark West Roberts, PHD is a Clinical Child & Adolescent Psychologist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

921 S 8th Ave Garrison Hall 525 Stop 8021
Pocatello, ID 83209-0002
Phone: (208) 282-2129
Fax: (208) 282-5411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY-138 (ID)

Record details

NPI number1336201342
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address536 S 9th Ave, Pocatello, ID 83201-5311

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