Active NPI
Robert Andrew Beyer, PH.D.
- Psychologist
- Kingston, NY
National Provider Identifier
1700108701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7716-1
- Practice address
- 9 Main St
Kingston, NY 12401-3811 - Phone
- (845) 255-3314
- Fax
- (845) 255-3314
- NPI assigned
- Feb 18, 2010
- Last updated
- Feb 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7716-1 | NY | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 7716-1 | NY | |
| Forensic Psychologist | 103TF0200X | 7716-1 | NY |
Addresses
Primary practice location
9 Main St
Kingston, NY 12401-3811
Mailing address
PO Box 93
Gardiner, NY 12525-0093
Phone (845) 255-3314
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7716-1 | NY | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1700108701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "GARDINER",
"state": "NY",
"postal_code": "125250093",
"telephone_number": "845-255-3314",
"fax_number": "845-255-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013811",
"telephone_number": "845-255-3314",
"fax_number": "845-255-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "7716-1",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "7716-1",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NY",
"license": "7716-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.