Active NPI
Robyn Kittrell, PHD HSPP
- Counseling Psychologist
- Muncie, IN
National Provider Identifier
1114954062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20041894A
- Practice address
- 1904 West Royale Drive
Muncie, IN 47304-2264 - Phone
- (765) 284-0443
- Fax
- (765) 284-4112
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 20041894A | IN | Primary |
Addresses
Primary practice location
1904 West Royale Drive
Muncie, IN 47304-2264
Mailing address
1904 West Royale Dr
Muncie, IN 47304-2264
Phone (765) 284-0043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000030791 | Other | IN | MPLAN |
| 000000363649 | Other | IN | ANTHEM BCBS |
| 740327000 | Other | IN | MAGELLAN HEALTH SERVICES |
Other names 1
- Robyn Palsrok
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 |
|---|---|---|---|
| 20041894A | IN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1114954062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 WEST ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042264",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 WEST ROYALE DRIVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042264",
"telephone_number": "765-284-0443",
"fax_number": "765-284-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTRELL",
"first_name": "ROBYN",
"credential": "PHD HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20041894A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPLAN",
"identifier": "000000030791",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000363649",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "740327000",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBYN",
"last_name": "PALSROK",
"credential": "PHD HSPP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.