Individual provider Active NPI

Robyn Leslie Fox, PHD

  • Clinical Psychologist
  • Glen Rock, NJ
National Provider Identifier
1558435909
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100447700 Issued in NJ
Practice address
17 Garvey PL
Glen Rock, NJ 07452-3620
Phone
(201) 694-9282
Fax
(201) 857-4809
NPI assigned
Nov 20, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100447700 NJ Primary
Clinical Child & Adolescent Psychologist 103TC2200X 013825 NY

Addresses

Primary practice location

17 Garvey PL
Glen Rock, NJ 07452-3620

Mailing address

17 Garvey PL
Glen Rock, NJ 07452-3620
Phone (201) 694-9282

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Other names 1

  • Dr. Robyn Leslie Mendelsohn Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100447700NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Rehabilitation Services Past Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1558435909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GARVEY PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523620",
            "telephone_number": "201-694-9282",
            "fax_number": "201-857-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GARVEY PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523620",
            "telephone_number": "201-694-9282",
            "fax_number": "201-857-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ROBYN",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100447700",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "013825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MENDELSOHN",
            "middle_name": "LESLIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.