Individual provider Active NPI

Robyn Kerler Preve, PH.D.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1396804563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002332 Issued in VA
Practice address
501 Faulconer Dr
Suite 2a
Charlottesville, VA 22903-4980
Phone
(434) 293-5097
Fax
(434) 296-3670
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002332 VA Primary

Addresses

Primary practice location

501 Faulconer Dr
Suite 2a
Charlottesville, VA 22903-4980

Mailing address

5363 Windy Ridge Rd
Charlottesville, VA 22903-7359
Phone (434) 823-1473

Other identifiers 4

IdentifierTypeStateIssuer
7818361OtherVAAETNA
239367OtherVAANTHEM BCBS
089392OtherVASENTARA UBS
7818361OtherVACHICKERING

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
0810002332VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396804563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 WINDY RIDGE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037359",
            "telephone_number": "434-823-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAULCONER DR",
            "address_2": "SUITE 2A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034980",
            "telephone_number": "434-293-5097",
            "fax_number": "434-296-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVE",
        "first_name": "ROBYN",
        "middle_name": "KERLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7818361",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "239367",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA UBS",
            "identifier": "089392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHICKERING",
            "identifier": "7818361",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

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