Active NPI
Brian Gregory Robinson, PSYD
- Clinical Psychologist
- San Rafael, CA
National Provider Identifier
1316959224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 17252
- Practice address
- 3230 Kerner Blvd
San Rafael, CA 94901-4840 - Phone
- (415) 473-7462
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 17252 | CA | Primary |
Addresses
Primary practice location
3230 Kerner Blvd
San Rafael, CA 94901-4840
Mailing address
3230 Kerner Blvd
San Rafael, CA 94901-4840
Phone (415) 473-7462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY17252 | Other | CA | CALIFORNIA PSYCHOLOGY LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17252 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1316959224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 KERNER BLVD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014840",
"telephone_number": "415-473-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 KERNER BLVD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014840",
"telephone_number": "415-473-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "BRIAN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "17252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PSYCHOLOGY LIC",
"identifier": "PSY17252",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.