Individual provider Active NPI

Kenith Leon Robins, PHD

  • Clinical Psychologist
  • Murfreesboro, TN
National Provider Identifier
1417105792
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000002879 Issued in TN
Practice address
2611 Salem Creek Dr
Murfreesboro, TN 37128-5587
Phone
(615) 310-1491
Fax
(615) 848-0337
NPI assigned
Aug 28, 2008
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 326632-2501 UT
Clinical Psychologist 103TC0700X P0000002879 TN Primary

Addresses

Primary practice location

2611 Salem Creek Dr
Murfreesboro, TN 37128-5587

Mailing address

2611 Salem Creek Dr
Murfreesboro, TN 37128-5587
Phone (615) 310-1491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000366 TN Practitioner - Clinical Psychologist 7517003577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consulting Associates, LLCGroup PAC ID 0749459782, 2 clinicians

Practice addresses (Care Compare)

2611 Salem Creek Dr
Murfreesboro, TN 37128-5587
Phone (615) 310-1491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000002879TNMDClinical Psychologist
326632-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting Associates, LLC Clinical CurrentSince Jan 26, 2019 Accepting new patients
Consulting Associates, LLC Clinical PastSince Jan 26, 2019 Accepting new patients

Locations

203 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 310-1491

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1417105792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SALEM CREEK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285587",
            "telephone_number": "615-310-1491",
            "fax_number": "615-848-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SALEM CREEK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285587",
            "telephone_number": "615-310-1491",
            "fax_number": "615-848-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "KENITH",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "326632-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.