Individual provider Active NPI

Robin Thomas Navarro, PSY.D.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1477735231
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3736 Issued in NC
Practice address
425 S Sharon Amity Rd Ste D
Charlotte, NC 28211-2841
Phone
(704) 774-0459
Fax
(704) 910-0071
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3736 NC
Clinical Psychologist 103TC0700X 3736 NC Primary

Addresses

Primary practice location

425 S Sharon Amity Rd Ste D
Charlotte, NC 28211-2841

Mailing address

425 S Sharon Amity Rd Ste D
Charlotte, NC 28211-2841
Phone (704) 774-0459

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

State licenses

LicenseStateTypeSpecialty
3736NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Psychological Center, PLLC Clinical CurrentSince Apr 30, 2023 Accepting new patients

Locations

425 S Sharon Amity Rd
Ste D
Charlotte, NC 28211
Phone (704) 362-1315

10550 Independence Pointe Pkwy
Ste 203
Matthews, NC 28105
Phone (704) 221-2880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1477735231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S SHARON AMITY RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-774-0459",
            "fax_number": "704-910-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S SHARON AMITY RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-774-0459",
            "fax_number": "704-910-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "ROBIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3736",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.