Robyn J Pichler, PSY.D.

Key facts

NPI

1689760985

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

2441 (GA)

Practice address

973 Enota Ave NE
Gainesville, GA 30501-1700

Phone

(678) 696-5851

Fax

(678) 696-5852

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Affiliated Psychological & Medical Consultants, LLC Psychologist · Gainesville, GA · NPI 1174601348
  NPD (past) CLINICAL
• Robyn J. Hans, Psy.D., PC Clinical Psychologist · Gainesville, GA · NPI 1073860334
  NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2014.

{
    "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": []
}

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All providers in Gainesville, GA · Clinical Psychologist in Georgia