Active NPI
Michele Alice Robison, PH.D
- Clinical Psychologist
- Coeur D Alene, ID
National Provider Identifier
1407068968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 203323
- Practice address
- 1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682 - Phone
- (208) 449-5183
- NPI assigned
- May 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY 13997 | CA | |
| Clinical Psychologist | 103TC0700X | 203323 | ID | Primary |
Addresses
Primary practice location
1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682
Mailing address
1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682
Phone (208) 449-5183
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13997 | CA | MD | Cognitive & Behavioral Psychologist |
| 203323 | ID | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1407068968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 303",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "208-449-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 303",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "208-449-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "MICHELE",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2025-03-25",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY 13997",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "203323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.