John M Robertson, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

KS#767 Issued in KS

Practice address

1441 Wakarusa Dr
Suite 200
Lawrence, KS 66049-3832

Phone

(785) 840-9820

Fax

(785) 841-8016

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1013918796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WAKARUSA DR",
            "address_2": "SUITE 200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493832",
            "telephone_number": "785-840-9820",
            "fax_number": "785-841-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WAKARUSA DR",
            "address_2": "SUITE 200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493832",
            "telephone_number": "785-840-9820",
            "fax_number": "785-841-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "767",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "KS#767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239800A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher S Roberts, CRNA
• Faith Wanja Roberts, LMLP, LMAC
• Karen N Roberts, ARNP
• Darin Robertson
• Glenn Robertson, DC - CHIROPRACTIC
• Robert D Robertson, LMSW
• Abigail Lynn Robinson, D.C.
• Dean Robinson
• Jennifer A Robinson, LMSW
• Renee Nicole Robinson, LSCSW

• Counseling Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Counseling Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.