Robert John Tate II, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC1110 Issued in ME

Practice address

38 Pleasant St
Portland, ME 04101-3964

Phone

(207) 773-0481

Fax

(207) 541-4939

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Re/Vision Enterprises, Inc.

  • Psychologist
  • Kennebunk, ME
  • NPI 1295969301
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1093883449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PLEASANT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013964",
            "telephone_number": "207-773-0481",
            "fax_number": "207-541-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PLEASANT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013964",
            "telephone_number": "207-773-0481",
            "fax_number": "207-541-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Decain Tarraza, NP
• Karen Tartakoff, AU.D.
• Rebecca Klein Task, LCSW
• Kristen S Tate, CRNA
• Lauren E Tate, RD
• V. Elizabeth Taxter, LCPC
• Eric N Taylor, MD
• James Michael Taylor, M.D.
• Janet M Taylor
• Jay Taylor, LSW

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.