Active NPI
Robert Allen Eubanks, PH.D., LMFT
- Marriage & Family Therapist
- Pensacola, FL
National Provider Identifier
1629269410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1953
- Practice address
- 909 N 15TH Ave
Pensacola, FL 32501-3404 - Phone
- (561) 385-9184
- NPI assigned
- Aug 6, 2007
- Last updated
- Mar 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | MT1953 | FL | Primary |
Addresses
Primary practice location
909 N 15TH Ave
Pensacola, FL 32501-3404
Mailing address
909 N 15TH Ave
Pensacola, FL 32501-3311
Phone (561) 385-9184
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1953 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Eubanks | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1629269410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N 15TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013311",
"telephone_number": "561-385-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N 15TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013404",
"telephone_number": "561-385-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.