Organization Active NPI

Jennie L. Robb, PH.D., PLLC

  • Clinical Psychologist
  • Bradenton, FL
National Provider Identifier
1194032292
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6351 Issued in FL
Legal business name
JENNIE L. ROBB, PH.D., PLLC
Practice address
9070 58TH Dr E Ste 102
Bradenton, FL 34202-6110
Phone
(941) 320-6320
Fax
(941) 753-5969
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Jennie L. Robb, PH.D.
Title
Psychologist/Ceo
Phone
(941) 320-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6351 FL Primary

Addresses

Primary practice location

9070 58TH Dr E Ste 102
Bradenton, FL 34202-6110

Mailing address

9070 58TH Dr E Ste 102
Bradenton, FL 34202-6110
Phone (941) 320-6320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1194032292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 58TH DR E STE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026110",
            "telephone_number": "941-320-6320",
            "fax_number": "941-753-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 58TH DR E STE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026110",
            "telephone_number": "941-320-6320",
            "fax_number": "941-753-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE L. ROBB, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "941-320-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.