Marshall Robinson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1485 Issued in ME

Practice address

1 Union Street
Suie 402
Portland, ME 04101

Phone

(207) 464-4080

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 11, 2023 through Aug 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Health Psych Maine LLC

  • Health Service Psychologist
  • Waterville, ME
  • NPI 1881231553
  NPD

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1356443857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LAFAYETTE ST",
            "address_2": "STE 2B",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966125",
            "telephone_number": "207-464-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION STREET",
            "address_2": "SUIE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-464-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Angell St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065206",
            "country_code": "US",
            "telephone_number": "401-427-7058",
            "fax_number": "401-427-7058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Union Street",
            "address_2": "Suie 402",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04101",
            "country_code": "US",
            "telephone_number": "207-464-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00955",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Irene Bill Robertson
• Seth Robie
• Coral Robinson, PA
• Jared Mark Robinson, MD
• Lindsey Robinson
• Sarah Arends Robinson, LCPC-C
• Michele Anne Robitaille, MSW
• Rachelle Anne Marie Daquer Robles, CRNA
• Matthew Robson, PA
• Robyn Waugh Physical Therapy LLC

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.