Organization Active NPI

Brittany Robinson PHD & Associates, LLC

  • Clinical Psychologist
  • Tucker, GA
National Provider Identifier
1255088928
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRITTANY ROBINSON PHD & ASSOCIATES, LLC
Practice address
4500 Hugh Howell Rd Ste 430 PMB 1040
Tucker, GA 30084
Phone
(678) 576-3626
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Brittany Alicia Robinson, PHD
Title
Owner/Authorized Official
Phone
(678) 576-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4500 Hugh Howell Rd Ste 430 PMB 1040
Tucker, GA 30084

Mailing address

4500 Hugh Howell Rd Ste 430 PMB 1040
Tucker, GA 30084
Phone (678) 576-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425000891 GA Part B Supplier - Clinic/Group Practice 7810384740 Practice locations: Tucker, GA

National Provider Directory

National Provider Directory

Locations

4500 Hugh Howell Rd
Ste 430
Tucker, GA 30084
Phone (678) 576-3626

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1255088928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 430 PMB 1040",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "678-576-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 430 PMB 1040",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "678-576-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY ROBINSON PHD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "678-576-3626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.

Verify at the official NPI Registry.