Active NPI
Julie Ann Robinson, PHD LP
- Clinical Neuropsychologist
- St Paul, MN
National Provider Identifier
1184737710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- LP3423
- Practice address
- 347 North Smith Avenue
Childrens Specialty Clinic Psychological Services
St Paul, MN 55102 - Phone
- (651) 220-6720
- Fax
- (651) 220-6707
- NPI assigned
- Aug 17, 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | LP3423 | MN | Primary |
Addresses
Primary practice location
347 North Smith Avenue
Childrens Specialty Clinic Psychological Services
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive
35 121A Childrens Health Care
Roseville, MN 55113
Phone (651) 855-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715322800 | Medicaid | MN |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3423 | MN | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1184737710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE",
"address_2": "35 121A CHILDRENS HEALTH CARE",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 NORTH SMITH AVENUE",
"address_2": "CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6720",
"fax_number": "651-220-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MN",
"license": "LP3423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "715322800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.