Organization Active NPI

Robertson Childrens Psychopharmacology

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1710312905
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4338 Issued in AK
Legal business name
ROBERTSON CHILDRENS PSYCHOPHARMACOLOGY
Practice address
1200 Airport Heights Dr
Suite 170
Anchorage, AK 99508-2965
Phone
(907) 929-5258
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Michael D Robertson, D.O.
Title
Physician/Owner
Phone
(907) 929-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4338 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr
Suite 170
Anchorage, AK 99508-2965

Mailing address

PO Box 140469
Anchorage, AK 99514-0469
Phone (907) 929-5258

Other identifiers 1

IdentifierTypeStateIssuer
MD43383MedicaidAK

Other names 1

  • RCP, P.C. Other name

National Provider Directory

National Provider Directory

Locations

1200 Airport Heights Dr
Ste 170
Anchorage, AK 99508
Phone (907) 562-2118

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1710312905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140469",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140469",
            "telephone_number": "907-929-5258",
            "fax_number": "907-929-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 170",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-929-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON CHILDRENS PSYCHOPHARMACOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "907-929-5258",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "4338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD43383",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCP, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.