Organization Active NPI

Robert E Groble MD PA

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1255483616
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2809 Issued in FL
Legal business name
ROBERT E GROBLE MD PA
Practice address
1510 Barrs Street
Jacksonville, FL 32204
Phone
(904) 384-3354
Fax
(904) 384-4211
NPI assigned
Jan 17, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Robert E Groble, MD
Title
Medical Doctor Psychiatrist
Phone
(904) 384-3354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2809 FL Primary
Psychiatry Physician 2084P0800X ME0023162 FL

Addresses

Primary practice location

1510 Barrs Street
Jacksonville, FL 32204

Mailing address

1510 Barrs Street
Jacksonville, FL 32204
Phone (904) 384-3354

Other identifiers 1

IdentifierTypeStateIssuer
0066500200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1510 Barrs St
Jacksonville, FL 32204
Phone (904) 384-3354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255483616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BARRS STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-384-3354",
            "fax_number": "904-384-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BARRS STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-384-3354",
            "fax_number": "904-384-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E GROBLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GROBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR PSYCHIATRIST",
        "authorized_official_telephone_number": "904-384-3354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2809",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0023162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066500200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.