Active NPI
Robert Arnold, ED.D., M.A., BCPC, C
- Counselor
- Largo, FL
National Provider Identifier
1740629328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMH1504
- Practice address
- 10204 Seminole Island Dr
Largo, FL 33773-4124 - Phone
- (727) 417-6517
- Fax
- (727) 397-2168
- NPI assigned
- Jun 18, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMH1504 | FL | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | IMH1504 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | IMH1504 | FL | |
| Group Psychotherapy Psychologist | 103TP2701X | IMH1504 | FL |
Addresses
Primary practice location
10204 Seminole Island Dr
Largo, FL 33773-4124
Mailing address
10204 Seminole Island Dr
Largo, FL 33773-4124
Phone (727) 417-6517
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH1504 | FL | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1740629328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10204 SEMINOLE ISLAND DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337734124",
"telephone_number": "727-417-6517",
"fax_number": "727-397-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10204 SEMINOLE ISLAND DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337734124",
"telephone_number": "727-417-6517",
"fax_number": "727-397-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "ED.D., M.A., BCPC, C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMH1504",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "IMH1504",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "IMH1504",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "IMH1504",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.