Robert Humphries Jr., PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5492 Issued in OH

Practice address

4845 Fulton Dr NW Ste 4
Canton, OH 44718-2300

Phone

(330) 244-8782

Fax

(330) 244-8795

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Vista Psychological and Counseling Centre LLCGroup PAC ID 2365517836, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vista Psychological & Counseling Centre LLC

  • Clinical Psychologist
  • Canton, OH
  • NPI 1558535658
  Medicare reassignment Care Compare group NPD Authorized official
• Psychological & Family Consultants, Inc.

  • Psychologist
  • Canton, OH
  • NPI 1952460008
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1447319181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 FULTON DR NW STE 4",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182300",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 FULTON DR NW STE 4",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182300",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "083656000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "191242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341302914034",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106563",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Hummel, MFTT
• Sabrina Ann Humphreys
• Carlos Ray Humphries, MD, FIRST AID
• Jenna Marie Humphries
• Luchanta Larena Humphries, LPN
• Barbara Hunt, LPCC, LPC, LSW
• Daisy Irene Hunter-Iverson, LPN
• David Hunter, LPC, CDCA
• Diana L Hunter, CNS
• Shannon Hunter

• Clinical Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.