NPIMap

Organization Active NPI

Robert Keith Albiston

Doing business as ROBERT K. ALBISTON, Ph.D., P.C.

  • Clinical Psychologist
  • Kingston, TN
National Provider Identifier
1417090838
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1001 Issued in TN
Legal business name
ROBERT KEITH ALBISTON
Doing business as
ROBERT K. ALBISTON, Ph.D., P.C.
Practice address
1002 Bradford Way
Kingston, TN 37763-3100
Phone
(865) 376-1585
Fax
(865) 376-1587
NPI assigned
Feb 15, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Robert K Albiston, PH.D.NPI 1720058407
Title
Owner
Phone
(865) 375-1585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1001 TN Primary

Addresses

Primary practice location

1002 Bradford Way
Kingston, TN 37763-3100

Mailing address

1002 Bradford Way
Kingston, TN 37763-3100
Phone (865) 376-1585

Other identifiers 2

IdentifierTypeStateIssuer
3683259MedicaidTN
0104517OtherTNBLUE CROSS BLUE SHIELD TN

Other names 1

  • ROBERT K. ALBISTON, Ph.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1002 Bradford Way
Kingston, TN 37763
Phone (865) 376-1585

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1417090838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BRADFORD WAY",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377633100",
            "telephone_number": "865-376-1585",
            "fax_number": "865-376-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BRADFORD WAY",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377633100",
            "telephone_number": "865-376-1585",
            "fax_number": "865-376-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KEITH ALBISTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "ALBISTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-375-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3683259",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "0104517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT K. ALBISTON, Ph.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.