Active NPI
Brittany Robinson PHD & Associates, LLC
- Clinical Psychologist
- Tucker, GA
National Provider Identifier
1255088928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220425000891 | GA | Part B Supplier - Clinic/Group Practice | 7810384740 | Practice locations: Tucker, GA |
National Provider Directory
National Provider DirectoryLocations
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.