Individual provider Active NPI

Robi E Tamargo, PSYD

  • Clinical Psychologist
  • Jacksonville, FL
National Provider Identifier
1710969423
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8914 Issued in FL
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

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8914FLMDClinical Psychologist
0810003233VAMDClinical 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

Verify at the official NPI Registry.