Individual provider Active NPI

Stuart N Robinson, PH.D.

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1326256801
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
32635 Issued in TX
Practice address
5454 La Sierra Dr Ste 201
Dallas, TX 75231-2344
Phone
(888) 923-2256
Fax
(888) 923-2256
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32635 TX
Adult Development & Aging Psychologist 103TA0700X 32635 TX
Cognitive & Behavioral Psychologist 103TB0200X 32635 TX
Clinical Psychologist 103TC0700X 32635 TX
Counseling Psychologist 103TC1900X 32635 TX
Health Psychologist 103TH0004X 32635 TX
Intellectual & Developmental Disabilities Psychologist 103TM1800X 32635 TX
Group Psychotherapy Psychologist 103TP2701X 32635 TX
Rehabilitation Psychologist 103TR0400X 32635 TX
Clinical Neuropsychologist 103G00000X 32635 TX Primary

Addresses

Primary practice location

5454 La Sierra Dr Ste 201
Dallas, TX 75231-2344

Mailing address

7615 Riverbrook Dr
Dallas, TX 75230-4460
Phone (888) 923-2256

Other identifiers 3

IdentifierTypeStateIssuer
1043495104OtherTXGROUP NPI - LIVE MORE SIMPLY, INC
1326256801OtherNPI
32635OtherTXPSYCHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 24, 2015 through Aug 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32635TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Live More Simply, Inc Clinical Neuropsychologist CurrentSince Oct 24, 2021 Accepting new patients
Live More Simply, Inc Clinical Neuropsychologist CurrentSince Jul 31, 2022 Accepting new patients

Locations

5454 La Sierra Dr
Ste 201
Dallas, TX 75231
Phone (210) 920-5315

10260 N Central Expy
Ste 274
Dallas, TX 75231
Phone (888) 923-2256

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1326256801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 RIVERBROOK DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304460",
            "telephone_number": "888-923-2256",
            "fax_number": "888-923-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LA SIERRA DR STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312344",
            "telephone_number": "888-923-2256",
            "fax_number": "888-923-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STUART",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "32635",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - LIVE MORE SIMPLY, INC",
            "identifier": "1043495104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326256801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "32635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.