Individual provider Active NPI

Robert Allen Weathersb Cochran, PSY D

  • Clinical Psychologist
  • Concord, NC
National Provider Identifier
1699288530
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4138 Issued in NC
Practice address
1025 Vinehaven Dr NE
Concord, NC 28025-2439
Phone
(704) 918-1343
Fax
(704) 461-4334
NPI assigned
Nov 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 4138 NC Primary

Addresses

Primary practice location

1025 Vinehaven Dr NE
Concord, NC 28025-2439

Mailing address

1025 Vinehaven Dr NE
Concord, NC 28025-2439
Phone (704) 918-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220221001347 NC Practitioner - Clinical Psychologist 4880088681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 Vinehaven Dr NE
Concord, NC 28025-2439
Phone 70491813432500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4138NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pediatric Eye Specialists, PLLC CurrentSince Oct 27, 2024 Accepting new patients
West Counseling CurrentSince Oct 27, 2024 Accepting new patients
Troyer Medical Inc PC PastSince Jun 29, 2010 Accepting new patients

Locations

1025 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 795-5588

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1699288530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-918-1343",
            "fax_number": "704-461-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252439",
            "telephone_number": "704-918-1343",
            "fax_number": "704-461-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "ROBERT",
        "middle_name": "ALLEN WEATHERSB",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.