Active NPI
Robin L Schupper, PSY.D.
- Clinical Psychologist
- Hollywood, FL
National Provider Identifier
1396787404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4131
- Practice address
- 901 S 62ND Ave
Hollywood, FL 33023-1848 - Phone
- (561) 704-2304
- Fax
- (561) 432-4477
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4131 | FL | Primary |
Addresses
Primary practice location
901 S 62ND Ave
Hollywood, FL 33023-1848
Mailing address
7693 Thornlee Dr
Lake Worth, FL 33467-7858
Phone (561) 704-2304
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1396787404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7693 THORNLEE DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677858",
"telephone_number": "561-704-2304",
"fax_number": "561-432-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 62ND AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330231848",
"telephone_number": "561-704-2304",
"fax_number": "561-432-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUPPER",
"first_name": "ROBIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.