Individual provider Active NPI

Robert Michael Cross, PH.D.

  • Clinical Psychologist
  • Sherman, TX
National Provider Identifier
1235111063
Registry record updated Jun 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24945 Issued in TX
Practice address
200 N Travis St
Ste 303
Sherman, TX 75090-0004
Phone
(972) 658-1144
Fax
(903) 870-0304
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2019

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 24945 TX Primary

Addresses

Primary practice location

200 N Travis St
Ste 303
Sherman, TX 75090-0004

Mailing address

200 N Travis St Ste 303
Sherman, TX 75090-0004
Phone (903) 819-8888

Other practice location 1

503 N Kentucky St Ste 11
McKinney, TX 75069-2766
Phone (903) 819-8888

Other identifiers 1

IdentifierTypeStateIssuer
0952426MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100729000112 TX Practitioner - Clinical Psychologist 9931232840 Practice locations: Sherman, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 N Travis St
Suite 303
Sherman, TX 75090-0004
Phone (903) 819-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24945TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1235111063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N TRAVIS ST STE 303",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900004",
            "telephone_number": "903-819-8888",
            "fax_number": "903-870-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N TRAVIS ST",
            "address_2": "STE 303",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900004",
            "telephone_number": "972-658-1144",
            "fax_number": "903-870-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N Kentucky St Ste 11",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750692766",
            "country_code": "US",
            "telephone_number": "903-819-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.