Active NPI
Mars Ray Robinson, PSY.D,M.A., L.M.F.T.
- Marriage & Family Therapist
- Broomfield, CO
National Provider Identifier
1619063377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 00192
- Practice address
- 3406 Molly LN
Broomfield, CO 80023-4519 - Phone
- (563) 343-4228
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 00192 | IA | Primary |
Addresses
Primary practice location
3406 Molly LN
Broomfield, CO 80023-4519
Mailing address
3406 Molly LN
Broomfield, CO 80023-4519
Phone (563) 343-4228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0283507 | Medicaid | IA |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00192 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1619063377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 MOLLY LN",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234519",
"telephone_number": "563-343-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 MOLLY LN",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234519",
"telephone_number": "563-343-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MARS",
"middle_name": "RAY",
"credential": "PSY.D,M.A., L.M.F.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "00192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0283507",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.