Robert Baldwin Patterson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

278 Issued in TX

Practice address

510 Ochiltree St
Nacogdoches, TX 75961-4408

Phone

(936) 552-9525

NPI assigned

May 22, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Robert Baldwin Patterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1366651341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630564",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759630564",
            "telephone_number": "936-552-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OCHILTREE ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614408",
            "telephone_number": "936-552-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ROBERT",
        "middle_name": "BALDWIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "278",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "30207",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "PATTERSON",
            "middle_name": "BALDWIN",
            "prefix": "MR.",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles Wade Page, M.D.
• Matthew Carroll Parker, M.D.
• Jasmine Rakesh Patel
• Prithvi Patel, MS CCC/SLP
• Brooke Alyssa Patterson
• Carolyn Louise Patton, RN MSN FNP
• Justin Pelham, MS RD LD
• Jason Ryan Pena
• Jobeth Perkins, MED., CCC/SLP
• Daniella E Perritt, COTA

• Professional Counselor in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.