Individual provider Active NPI

Robert Scott Hilborn, PH.D.

  • Clinical Neuropsychologist
  • Fort Worth, TX
National Provider Identifier
1699073114
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34774 Issued in TX
Practice address
112 NW 24TH St Ste 208
Ft Worth, TX 76164-8577
Phone
(469) 835-4301
Fax
(469) 574-3711
NPI assigned
Mar 8, 2011
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 34774 TX Primary
Clinical Psychologist 103TC0700X 34774 TX

Addresses

Primary practice location

112 NW 24TH St Ste 208
Ft Worth, TX 76164-8577

Mailing address

112 NW 24TH St Ste 208
Fort Worth, TX 76164-8577
Phone (469) 835-4301

Other practice location 1

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110926000056 TX Practitioner - Clinical Psychologist 1153592084 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 NW 24TH Street
208 Scott Hilborn PHD
Fort Worth, TX 76164-8577
Phone (469) 835-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34774TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth CurrentSince Jul 1, 2016 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth CurrentSince Jul 1, 2016 Accepting new patients

Locations

3500 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-2000

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

Organizations & group practices 3

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1699073114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NW 24TH ST STE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648577",
            "telephone_number": "469-835-4301",
            "fax_number": "469-574-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NW 24TH ST STE 208",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761648577",
            "telephone_number": "469-835-4301",
            "fax_number": "469-574-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 MONTGOMERY ST",
            "address_purpose": "LOCATION",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "country_code": "US",
            "telephone_number": "817-735-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILBORN",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34774",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.