Individual provider Active NPI

Harold Buchanan Robb III, PH.D.

  • Cognitive & Behavioral Psychologist
  • West Linn, OR
National Provider Identifier
1346366200
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
699 Issued in OR
Practice address
19801 S Hazelhurst LN
West Linn, OR 97068-9233
Phone
(503) 523-8562
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 699 OR Primary

Addresses

Primary practice location

19801 S Hazelhurst LN
West Linn, OR 97068-9233

Mailing address

19801 S Hazelhurst LN
West Linn, OR 97068-9233
Phone (503) 523-8562

Other identifiers 1

IdentifierTypeStateIssuer
930934599OtherORFEDERAL TAXPAYER ID

Other names 1

  • Dr. Hank Robb Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001182 OR Practitioner - Clinical Psychologist 4587606900 Practice locations: West Linn, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19801 S Hazelhurst LN
West Linn, OR 97068-9233
Phone (503) 523-8562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Ricks Warren PH.D., Abpp, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1346366200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 S HAZELHURST LN",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689233",
            "telephone_number": "503-523-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 S HAZELHURST LN",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689233",
            "telephone_number": "503-523-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "HAROLD",
        "middle_name": "BUCHANAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAXPAYER ID",
            "identifier": "930934599",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANK",
            "last_name": "ROBB",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.