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

Roberta Latefa Mineo, PHD

Individual provider Clinical Psychologist · NPI 1013469048

Roberta Latefa Mineo, PHD is a Clinical Psychologist in Sebastopol, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2016
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

3291 Sullivan Rd
Sebastopol, CA 95472-9388
Phone: (707) 953-1139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 32488 (CA)

Record details

NPI number1013469048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 25, 2016
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing addressPo Box 329, Graton, CA 95444-0329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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