Active NPI
Robi E Tamargo, PSYD
- Clinical Psychologist
- Jacksonville, FL
National Provider Identifier
1710969423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8914
- Practice address
- 13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291 - Phone
- (904) 834-7138
- Fax
- (904) 834-7139
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003233 | VA | |
| Clinical Psychologist | 103TC0700X | 8914 | FL | Primary |
Addresses
Primary practice location
13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291
Mailing address
13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291
Phone (904) 834-7138
Other practice location 1
11363 Sunset Hills Rd
Reston, VA 20190-5205
Phone (703) 458-4500
Other practice location 2
115 Solana Rd Ste 115
Ponte Vedra Beach, FL 32082-5230
Phone (904) 834-7138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8914 | FL | MD | Clinical Psychologist |
| 0810003233 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1710969423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 SUTTON PARK DR S STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245291",
"telephone_number": "904-834-7138",
"fax_number": "904-834-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 SUTTON PARK DR S STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245291",
"telephone_number": "904-834-7138",
"fax_number": "904-834-7139"
}
],
"practiceLocations": [
{
"address_1": "11363 Sunset Hills Rd",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905205",
"country_code": "US",
"telephone_number": "703-458-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Solana Rd Ste 115",
"address_purpose": "LOCATION",
"city": "Ponte Vedra Beach",
"state": "FL",
"postal_code": "320825230",
"country_code": "US",
"telephone_number": "904-834-7138",
"fax_number": "904-834-7139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMARGO",
"first_name": "ROBI",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003233",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "8914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.