Active NPI
F Cal Robinson, PSYD
- Clinical Psychologist
- Springfield, IL
National Provider Identifier
1083676977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004718
- Practice address
- 2844 E Lake Shore Dr
Springfield, IL 62712-5531 - Phone
- (757) 349-3525
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1075 | LA | |
| Clinical Psychologist | 103TC0700X | 071.004718 | IL | |
| Clinical Psychologist | 103TC0700X | 071004718 | IL | Primary |
| Psychologist | 103T00000X | 2606 | WI |
Addresses
Primary practice location
2844 E Lake Shore Dr
Springfield, IL 62712-5531
Mailing address
2844 E Lake Shore Dr
Springfield, IL 62712-5531
Phone (757) 349-3525
Other practice location 1
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Other practice location 2
250 Nat Turner Blvd S
Ste 100
Newport News, VA 23606-3074
Phone (757) 596-1900 ext. 349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2606 | WI | MD | Psychologist |
| 071.004718 | IL | MD | Clinical Psychologist |
| 1075 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davken Associates, P.C. | Clinical | Current | Accepting new patients |
| Edgewood Clinical Services, P.C. | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Deerfield, IL
- NPI 1457393159
-
- Psychologist
- Naperville, IL
- NPI 1295914646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1083676977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 E LAKE SHORE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627125531",
"telephone_number": "757-349-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 E LAKE SHORE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627125531",
"telephone_number": "757-349-3525"
}
],
"practiceLocations": [
{
"address_1": "535 Hospital Rd",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540171449",
"country_code": "US",
"telephone_number": "715-243-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Nat Turner Blvd S",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063074",
"country_code": "US",
"telephone_number": "757-596-1900 x349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "F",
"middle_name": "CAL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1075",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.004718",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004718",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.