Organization Active NPI

Robin Beaumont PHD LLC

  • Clinical Psychologist
  • Quakertown, PA
National Provider Identifier
1073907705
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017011 Issued in PA
Legal business name
ROBIN BEAUMONT PHD LLC
Practice address
628 Juniper St
Quakertown, PA 18951-1587
Phone
(267) 888-2599
Fax
(800) 851-2549
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Robin L Beaumont, PHDNPI 1992088553
Title
Owner/President
Phone
(267) 888-2599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS017011 PA Primary

Addresses

Primary practice location

628 Juniper St
Quakertown, PA 18951-1587

Mailing address

1783 Cedar LN
Quakertown, PA 18951-5713
Phone (267) 888-2599

Other names 1

  • Crossroads Therapy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150401000294 PA Part B Supplier - Clinic/Group Practice 0941527915 Receives reassigned benefits from 1 practitioner
Practice locations: Quakertown, PA

National Provider Directory

National Provider Directory

Locations

165 California Rd
Unit 913
Quakertown, PA 18951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1073907705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 CEDAR LN",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189515713",
            "telephone_number": "267-888-2599",
            "fax_number": "800-852-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 JUNIPER ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511587",
            "telephone_number": "267-888-2599",
            "fax_number": "800-851-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN BEAUMONT PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "BEAUMONT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "267-888-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.