Active NPI
Robert Emery Jr., PH.D.
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1225253230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001163
- Practice address
- 901 Preston Ave
Wellness Center, Suite 202
Charlottesville, VA 22903-4491 - Phone
- (434) 924-0671
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001163 | VA | Primary |
Addresses
Primary practice location
901 Preston Ave
Wellness Center, Suite 202
Charlottesville, VA 22903-4491
Mailing address
800 Rugby Rd
Charlottesville, VA 22903-1629
Phone (434) 295-7873
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 |
|---|---|---|---|
| 0810001163 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225253230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 RUGBY RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229031629",
"telephone_number": "434-295-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PRESTON AVE",
"address_2": "WELLNESS CENTER, SUITE 202",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034491",
"telephone_number": "434-924-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
- Thomas J Eluvathingal Muttikkal, MD
- Kurtis Scott Elward, M.D., M.P.H.
- Seyed A. Emamian, M.D. , P.H. D.
- Emergent Counseling Services LLS
- Benjamin Emery
- Emily Harding DMD Inc
- Empower Change Behavioral Solutions
- Empower Pediatric Physical Therapy, PLLC
- Empowering Families Program Daniel L. Price, Psy.D.
- Encompass Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.