Active NPI
Robert Alan Petry PC
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1104151125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002340
- Legal business name
- ROBERT ALAN PETRY PC
- Practice address
- 6964 Forest Hill Ave
Richmond, VA 23225-1659 - Phone
- (804) 320-7738
- Fax
- (804) 320-8738
- NPI assigned
- Oct 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Alan Petry, PH.D.
- Title
- Owner
- Phone
- (804) 320-7738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002340 | VA | Primary |
Addresses
Primary practice location
6964 Forest Hill Ave
Richmond, VA 23225-1659
Mailing address
6964 Forest Hill Ave
Richmond, VA 23225-1659
Phone (804) 320-7738
National Provider Directory
National Provider DirectoryLocations
6962 Forest Hill Ave
Richmond, VA 23225
Phone (804) 320-7738
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1356518344
-
- Clinical Psychologist
- Richmond, VA
- NPI 1427116946
-
- Addiction (Substance Use Disorder) Counselor
- Richmond, VA
- NPI 1740402551
-
- Social Worker
- Richmond, VA
- NPI 1992931752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366588800000",
"number": "1104151125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6964 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251659",
"telephone_number": "804-320-7738",
"fax_number": "804-320-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6964 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251659",
"telephone_number": "804-320-7738",
"fax_number": "804-320-8738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT ALAN PETRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2013-04-22",
"status": "A",
"authorized_official_last_name": "PETRY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-320-7738",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.