Robin E Dock PHD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

S9895 Issued in NC

Legal business name

ROBIN E DOCK PHD

Practice address

3410 Healy Dr
Suite 203
Winston Salem, NC 27103-1403

Phone

(336) 774-0006

Fax

(336) 774-0007

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robin E DockNPI 1962436295

Title

Sole Proprietor/Owner

Phone

(678) 614-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Center for Counseling Rehabilitation and Personal Evaluation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Counseling, Rehabilitation, and Personal Evaluation

  • Counselor
  • Lilburn, GA
  • NPI 1518109461
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin E Dock, PH.D., LPC, CRC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1962436295
  NPD (past) Authorized official
• Shannon Marie Pena, MS, CRC. LPCA

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1861860389
  NPD (past)
• Juan Bautista Santos, M.S, CRC, LPCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1205232048
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1245694702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-774-0006",
            "fax_number": "336-774-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-774-0006",
            "fax_number": "336-774-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN E DOCK PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "DOCK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "678-614-3211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "S9895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Robertson, CRNA
• Zoe-Ann Victoria Robertson
• Anna Robichaud, PHARMD
• Joan Jewasko Robie, CNM
• Peter W Robie, MD
• Katey Melissa Robinfield
• Robinhood Family Pharmacy LLC
• Robinhood Family Pharmacy LLC
• Robinhood Integrative Health, PLLC
• Gregory Scott Robins, PA-C

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.