Active NPI
Autumn Marie Robinson, LPA, HSP
- School Psychologist
- Raleigh, NC
National Provider Identifier
1073321089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 6712
- Practice address
- 5561 McNeely Dr
Raleigh, NC 27612-7625 - Phone
- (919) 270-6116
- NPI assigned
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6712 | NC | |
| School Psychologist | 103TS0200X | 6712 | NC | Primary |
Addresses
Primary practice location
5561 McNeely Dr
Raleigh, NC 27612-7625
Mailing address
5025 Trail Ridge Dr
Raleigh, NC 27613-7532
Phone (919) 270-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6712 | NC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1073321089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 TRAIL RIDGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276137532",
"telephone_number": "919-270-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5561 MCNEELY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276127625",
"telephone_number": "919-270-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "AUTUMN",
"middle_name": "MARIE",
"credential": "LPA, HSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "6712",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "6712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.