Individual provider Active NPI

Marilyn B Robie, PH.D.

  • Psychologist
  • Lexington, KY
National Provider Identifier
1104996669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0607 Issued in KY
Practice address
637 Sayre Ave
Lexington, KY 40508-2317
Phone
(859) 225-1476
Fax
(859) 259-1301
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0607 KY Primary

Addresses

Primary practice location

637 Sayre Ave
Lexington, KY 40508-2317

Mailing address

637 Sayre Ave
Lexington, KY 40508-2317
Phone (859) 225-1476

Other identifiers 5

IdentifierTypeStateIssuer
000000042999OtherKYANTHEM
044249OtherKYVALUE OPTIONS
1187382OtherKYCHA
61-42546OtherKYUBH
4212556OtherKYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001152 KY Practitioner - Clinical Psychologist 2466610621 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0607KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Haas, LCSW, PLLC PastSince Jun 6, 2017 Accepting new patients

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104996669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 SAYRE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082317",
            "telephone_number": "859-225-1476",
            "fax_number": "859-259-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SAYRE AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082317",
            "telephone_number": "859-225-1476",
            "fax_number": "859-259-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIE",
        "first_name": "MARILYN",
        "middle_name": "B",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000042999",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "044249",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1187382",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "61-42546",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4212556",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.