Individual provider Active NPI

Robyn J Pichler, PSY.D.

  • Clinical Psychologist
  • Gainesville, GA
National Provider Identifier
1689760985
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2441 Issued in GA
Practice address
973 Enota Ave NE
Gainesville, GA 30501-1700
Phone
(678) 696-5851
Fax
(678) 696-5852
NPI assigned
Oct 5, 2006
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2441 GA Primary

Addresses

Primary practice location

973 Enota Ave NE
Gainesville, GA 30501-1700

Mailing address

973 Enota Ave NE
Gainesville, GA 30501-1700
Phone (678) 696-5851

Other identifiers 1

IdentifierTypeStateIssuer
000884837BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
2441GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn J. Hans, Psy.D., PC Clinical PastSince Jul 1, 2012 Accepting new patients
Affiliated Psychological & Medical Consultants, LLC 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1689760985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "678-696-5851",
            "fax_number": "678-696-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 ENOTA AVE NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011700",
            "telephone_number": "678-696-5851",
            "fax_number": "678-696-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHLER",
        "first_name": "ROBYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000884837B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.