Robert Coleman PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8157 Issued in FL

Legal business name

ROBERT COLEMAN PSYD LLC

Practice address

11200 Seminole Blvd Ste 101
Largo, FL 33778-3240

Phone

(727) 272-0097

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Coleman, PSYDNPI 1770670192

Title

Owner

Phone

(727) 272-0097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Robert M Coleman, PSY.D.

  • Clinical Psychologist
  • Largo, FL
  • NPI 1770670192
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1295097368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-272-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-272-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT COLEMAN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-272-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasheika Rivera, LMHC
• Laura Rivero Fernandez de Alaiza
• Sharreise T Rivers
• Cynthia Robbins, PTA
• Leah Roberson
• James A. Roberts, M.D.
• Michael K Roberts, DC
• Teresa Robertson
• Gillian Leigh Van Allen Robinson, M.D.
• Laura Streber Robles-Perez, LMT MMP

• Clinical Psychologist in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.