Robert L Devereaux, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3496 Issued in TN

Practice address

7417 Kingston Pike Ste 103
Knoxville, TN 37919-5616

Phone

(865) 459-7521

Fax

(865) 217-7390

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

University of Texas Southwestern Medical School at Dallas, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Knoxville Behavioral & Mental Health Services

  • Developmental - Behavioral Pediatrics Physician
  • Knoxville, TN
  • NPI 1710444310
  NPD

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1639487598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195616",
            "telephone_number": "865-459-7521",
            "fax_number": "865-217-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KINGSTON PIKE STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195616",
            "telephone_number": "865-459-7521",
            "fax_number": "865-217-7390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9129 Cross Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234505",
            "country_code": "US",
            "telephone_number": "865-983-1899",
            "fax_number": "865-409-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEREAUX",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36518",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Devault, M.D.
• Lindsey Nicole Devente Stanley, NP
• Cassie Marie Devente, M.A.
• Kristen Marie Dever
• Jane S Devereaux, CNA
• Amanda Nicole Devine, LMSW
• Daniel Devine, OD
• Lynette Devine, OD
• Devinevision
• David E Devoid, M.D.

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.