Organization Active NPI

Robert Margolis PHD PC

  • Psychologist
  • Roswell, GA
National Provider Identifier
1114144409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY000552 Issued in GA
Legal business name
ROBERT MARGOLIS PHD PC
Practice address
1150 Upper Hembree Rd
Suite 12
Roswell, GA 30076-1142
Phone
(678) 624-0930
Fax
(678) 624-0730
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Margolis, PHD
Title
President
Phone
(678) 624-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY000552 GA Primary

Addresses

Primary practice location

1150 Upper Hembree Rd
Suite 12
Roswell, GA 30076-1142

Mailing address

1150 Upper Hembree Rd
Suite 12
Roswell, GA 30076-1142
Phone (678) 624-0930

Other names 1

  • Solutions Intensive Outpatient Program Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114144409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 UPPER HEMBREE RD",
            "address_2": "SUITE 12",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761142",
            "telephone_number": "678-624-0930",
            "fax_number": "678-624-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 UPPER HEMBREE RD",
            "address_2": "SUITE 12",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761142",
            "telephone_number": "678-624-0930",
            "fax_number": "678-624-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MARGOLIS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-624-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solutions Intensive Outpatient Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.