Robert Douglas Adams, PSY.D.
Individual provider Active NPI Clinical Psychologist · Rocky River, OH
NPI 1306124177 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306124177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7567 (OH)
- Practice address
- 20220 Center Ridge Rd Ste 320
Rocky River, OH 44116-3501 - Phone
- (440) 409-0307
- NPI assigned
- Jul 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008774 | IL | MD | Clinical Psychologist |
| 7567 | OH | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008774 | IL | |
| Clinical Psychologist | 103TC0700X | 7567 | OH | Yes |
| Psychologist | 103T00000X |
Addresses
Primary practice location
20220 Center Ridge Rd Ste 320
Rocky River, OH 44116-3501
Mailing address
20220 Center Ridge Rd Ste 320
Rocky River, OH 44116-3501
Phone (440) 409-0307
Other practice location 1
120 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3542
Phone (630) 325-5300 ext. 242
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All providers in Rocky River, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.