Individual provider Active NPI

Patrice S Robins, PHD

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1568936854
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
16854 Issued in CA
Practice address
530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426
Phone
(818) 231-1115
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 16854 CA Primary

Addresses

Primary practice location

530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426

Mailing address

4725 Heaven Ave
Woodland Hills, CA 91364-3725
Phone (818) 231-1115

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

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1568936854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 HEAVEN AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643725",
            "telephone_number": "818-231-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426",
            "telephone_number": "818-231-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "PATRICE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "16854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.