Active NPI
Robert William Adams, PHD MBA
- Psychologist
- Memphis, TN
National Provider Identifier
1194390567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3673
- Practice address
- 1661 International Place Dr Ste 400
Memphis, TN 38120-1431 - Phone
- (901) 767-7771
- Fax
- (901) 767-4441
- NPI assigned
- May 26, 2021
- Last updated
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3673 | TN | Primary |
Addresses
Primary practice location
1661 International Place Dr Ste 400
Memphis, TN 38120-1431
Mailing address
505 Primrose CV
Memphis, TN 38117-3645
Phone (901) 482-0155
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
- Master of Business Administration, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3673 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1194390567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PRIMROSE CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381173645",
"telephone_number": "901-482-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 INTERNATIONAL PLACE DR STE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201431",
"telephone_number": "901-767-7771",
"fax_number": "901-767-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHD MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-26",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "3673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.