Individual provider Active NPI

Floyd Faddis Robison, PH.D HSSP

  • Clinical Psychologist
  • Martinsville, IN
National Provider Identifier
1194707000
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040289 Issued in IN
Practice address
3630 Meadows Dr
Martinsville, IN 46151-9450
Phone
(765) 318-1225
Fax
(180) 059-6368
NPI assigned
Nov 16, 2005
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040289 IN Primary

Addresses

Primary practice location

3630 Meadows Dr
Martinsville, IN 46151-9450

Mailing address

3630 Meadows Dr
Martinsville, IN 46151-9450
Phone (765) 318-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000262 IN Practitioner - Clinical Psychologist 4688750771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LPS Behavioral Health LLCGroup PAC ID 4486821154, 2 clinicians

Practice addresses (Care Compare)

1839 Robin Rd
Suite 126
Martinsville, IN 46151-3049
Phone (765) 318-1225

633 Library Park Dr
Suite K
Greenwood, IN 46142-1578
Phone (765) 318-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040289INMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1194707000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 MEADOWS DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461519450",
            "telephone_number": "765-318-1225",
            "fax_number": "180-059-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 MEADOWS DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461519450",
            "telephone_number": "765-318-1225",
            "fax_number": "180-059-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "FLOYD",
        "middle_name": "FADDIS",
        "name_prefix": "Dr.",
        "credential": "PH.D  HSSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.