Active NPI
Robert P. Ehrlich, PH.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1083825301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002849
- Practice address
- 3000 E Fletcher Ave
Suite 300
Tampa, FL 33613-4656 - Phone
- (813) 977-6197
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002849 | FL | Primary |
Addresses
Primary practice location
3000 E Fletcher Ave
Suite 300
Tampa, FL 33613-4656
Mailing address
3000 E Fletcher Ave
Suite 300
Tampa, FL 33613-4656
Phone (813) 977-6197
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002849 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Clinic, LLC | Past | Accepting new patients | |
| Richard J. Ina, M.D., P.a. | 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.
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Family Medicine Physician
- Tampa, FL
- NPI 1427173483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083825301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 E FLETCHER AVE",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134656",
"telephone_number": "813-977-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 E FLETCHER AVE",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134656",
"telephone_number": "813-977-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICH",
"first_name": "ROBERT",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "002849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.