Individual provider Active NPI

Robin H. Exum-Calhoun, PSY.D.

  • Clinical Psychologist
  • Wake Forest, NC
National Provider Identifier
1538355466
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100399100 Issued in NJ
Practice address
10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone
(919) 263-9592
Fax
(909) 263-9670
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100399100 NJ
Psychologist 103T00000X 3325 NC
Clinical Child & Adolescent Psychologist 103TC2200X 35S100399100 NJ
School Psychologist 103TS0200X 35S100399100 NJ
Clinical Psychologist 103TC0700X 35S100399100 NJ Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3325 NC
Family Psychologist 103TF0000X 3325 NC
Family Psychologist 103TF0000X 35S100399100 NJ
Health Service Psychologist 103TH0100X 3325 NC
School Psychologist 103TS0200X 3325 NC

Addresses

Primary practice location

10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090

Mailing address

10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120801000499 NC Practitioner - Clinical Psychologist 2264698554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perkins Counseling and Psychological Services, PLLCGroup PAC ID 6800052234, 11 clinicians
Ahb Center for Behavioral Health and Wellness, PLLCGroup PAC ID 8123247178, 3 clinicians

Practice addresses (Care Compare)

10580 Ligon Mill Rd
Suite 210
Wake Forest, NC 27587-6090
Phone (919) 263-9592

3326 Durham Chapel Hill Blvd
Durham, NC 27707-6201
Phone (919) 410-8090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3325NCMDFamily Psychologist
35S100399100NJMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahb Center for Behavioral Health and Wellness, PLLC Clinical CurrentSince Feb 20, 2014 Accepting new patients
Perkins Counseling and Psychological Services, PLLC Psychologist CurrentSince Jan 1, 2015 Accepting new patients

Locations

3326 Durham Chapel Hill Blvd
Bldg D
Durham, NC 27707
Phone (919) 401-8090

10580 Ligon Mill Rd
#210
Wake Forest, NC 27587
Phone (919) 263-9592

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1538355466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 LIGON MILL RD STE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-263-9592",
            "fax_number": "909-263-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 LIGON MILL RD STE 210",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-263-9592",
            "fax_number": "909-263-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXUM-CALHOUN",
        "first_name": "ROBIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100399100",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3325",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100399100",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "35S100399100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100399100",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "3325",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NC",
            "license": "3325",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NJ",
            "license": "35S100399100",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "3325",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "3325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.