Individual provider Active NPI

Marva Monique Robinson, PSY.D.

  • Clinical Psychologist
  • Florissant, MO
National Provider Identifier
1417277948
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2008032664 Issued in MO
Practice address
6854 Parker Rd
Florissant, MO 63033-5313
Phone
(314) 652-4100
Fax
(314) 388-0470
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 2008032664 MO Primary

Addresses

Primary practice location

6854 Parker Rd
Florissant, MO 63033-5313

Mailing address

6854 Parker Rd
Florissant, MO 63033-5313

Other practice location 1

9635 Saint Girard Ln
Saint Louis, MO 63134-3931
Phone (314) 406-7323

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1417277948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335313",
            "telephone_number": "314-652-4100",
            "fax_number": "314-388-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9635 Saint Girard Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631343931",
            "country_code": "US",
            "telephone_number": "314-406-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARVA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008032664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.