Individual provider Active NPI

F Cal Robinson, PSYD

  • Clinical Psychologist
  • Springfield, IL
National Provider Identifier
1083676977
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004718 Issued in IL
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

Updated by the provider on May 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2606WIMDPsychologist
071.004718ILMDClinical Psychologist
1075LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davken Associates, P.C. Clinical CurrentSince Aug 15, 2023 Accepting new patients
Edgewood Clinical Services, P.C. Psychologist PastSince Jul 26, 2023 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.

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

Verify at the official NPI Registry.