Robert Dudley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90336 Issued in CA

Practice address

1160 N Dutton Ave
Suite 230
Santa Rosa, CA 95401-4600

Phone

(707) 303-3243

Fax

(707) 526-8310

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.dudley@wchealth.eclinicaldirectplus.com

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.

• Psych Strategies Inc a Psychological Corp

  dba PsychStrategies

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  NPD (past)
• West County Health Centers, Inc.

  dba Occidental Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Occidental, CA
  • NPI 1598768962
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1477908028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014600",
            "telephone_number": "707-303-3243",
            "fax_number": "707-526-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014600",
            "telephone_number": "707-303-3243",
            "fax_number": "707-526-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse C Dubin, MD
• Audrey Dubour, OTR
• Carley Jean Ducharme
• Robert M. Duchynski, MD
• Thomas Duckett, M.D.
• Douglas Duell, MFT
• Amelia Duer-Chapman
• Alvaris W Duffis, M.D.
• Rebecca Jane Duffy, MS
• Christine Dufond

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.