Robyn L Wallace PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ROBYN L WALLACE PHD LLC

Practice address

2141 S Alternate A1A Ste 300
Jupiter, FL 33477-4063

Phone

(561) 301-2908

NPI assigned

May 2, 2017

Last updated

Sep 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robyn L Walker, PHD

Title

President

Phone

(561) 301-2908

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, and the practitioner matching its NPPES authorized official.

• Robyn Lynn Wallace, PH.D

  • Clinical Psychologist
  • Jupiter, FL
  • NPI 1598866071
  Medicare reassignment NPD

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1316473028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-301-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-301-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN L WALLACE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-301-2908",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W. Roberts, PT,DPT,OCS,MTC
• Robin a Sykes, M.D., P.a.,
• Elizabeth Robinson
• Laura Faith Robinson, PH.D.
• Trey Austin Robinson
• Terri Rocafort, ARNP
• Christiane Marie Rocha, DMD
• Russell Joshua Rocha, DNP, APRN, FNP-BC
• Jeffrey J Rockefeller, DPM
• Lesley J Rodic, CRNA

• Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.