Robert William Adams, PSY.D.
Individual provider Active NPI Clinical Psychologist · Owensboro, KY
NPI 1013071760 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1013071760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 580 (KY)
- Practice address
- 3110 Fairview Dr
Room 114
Owensboro, KY 42303-2175 - Phone
- (270) 926-1737
- Fax
- (270) 926-1737
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580 | KY | MD | Registered Dietitian |
| 0580 | KY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 580 | KY | Yes |
Addresses
Primary practice location
3110 Fairview Dr
Room 114
Owensboro, KY 42303-2175
Mailing address
3110 Fairview Dr
Room 114
Owensboro, KY 42303-2175
Phone (270) 926-1737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P300022969 | Other | KY | MEDICARE ID-TYPE UNSPECIFIED |
Other providers in Owensboro, KY
- Breeanna Lynn Adams
- Gregory L Adams
- John Murray Adams
- Marilu Adams
- Mary Elizabeth Adams
- Faith Adamson
- Donna Jean Adcock
- Ann Barnes Adkins
- Carol G Adkins
- James Rodney Adkins
All providers in Owensboro, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.