Individual provider Active NPI

Lindsey Gayle Robertson, PHD

  • Psychologist
  • Encinitas, CA
National Provider Identifier
1376011296
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY30459 Issued in CA
Practice address
169 Saxony Rd Ste 211
Encinitas, CA 92024-6780
Phone
(760) 334-6262
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY30459 CA Primary

Addresses

Primary practice location

169 Saxony Rd Ste 211
Encinitas, CA 92024-6780

Mailing address

271 Weston Cir Apt 4
Vista, CA 92083-1973
Phone (425) 894-7329

Other practice location 1

655 S Mollison Ave
El Cajon, CA 92020-6609
Phone (858) 255-1658

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY30459CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Akua Behavioral Health, Inc Past Accepting new patients
Learning to Be Human PastSince Oct 30, 2018 Accepting new patients

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1376011296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WESTON CIR APT 4",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920831973",
            "telephone_number": "425-894-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 211",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246780",
            "telephone_number": "760-334-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 S Mollison Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920206609",
            "country_code": "US",
            "telephone_number": "858-255-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LINDSEY",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.