Active NPI
Robyn N Eubank
- Health Service Psychologist
- Muncie, IN
National Provider Identifier
1235839689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Legal business name
- ROBYN N EUBANK
- Practice address
- 3812 W Kilgore Ave
Muncie, IN 47304-4811 - Phone
- (765) 748-8112
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Eubank, PSYD, HSPP
- Title
- Owner
- Phone
- (765) 748-8112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
3812 W Kilgore Ave
Muncie, IN 47304-4811
Mailing address
3812 W Kilgore Ave
Muncie, IN 47304-4811
Phone (765) 748-8112
Other names 1
- Psychological Services Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3812 W Kilgore Ave
Muncie, IN 47304
Phone (765) 748-8112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Muncie, IN
- NPI 1265733026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1235839689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 W KILGORE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044811",
"telephone_number": "765-748-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 W KILGORE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044811",
"telephone_number": "765-748-8112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBYN N EUBANK",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "EUBANK",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-748-8112",
"authorized_official_credential": "PSYD, HSPP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Psychological Services Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.