Active NPI
Pamela Robinson, DNP, PSYD
- Family Nurse Practitioner
- Tempe, AZ
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP161033
- Practice address
- 60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126 - Phone
- (623) 335-2628
- NPI assigned
- Dec 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0812X | 4704333807 | MI | |
| Family Nurse Practitioner | 363LF0000X | CNP161033 | ME | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 109346 | AK | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 109346 | AK | |
| Clinical Psychologist | 103TC0700X | 109346 | AK | |
| Prescribing (Medical) Psychologist | 103TP0016X | 109346 | AK | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704333807 | MI | |
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | 4704333807 | MI |
Addresses
Primary practice location
60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126
Mailing address
8194 W Deer Valley Rd # 505
Peoria, AZ 85382-2127
Phone (602) 427-8031
Other practice location 1
2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187
Phone (602) 845-0767
Other practice location 2
12600 N 113th Ave Ste B9
Youngtown, AZ 85363-1163
Phone (602) 845-0767
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109346 | AK | MD | Addiction (Substance Use Disorder) Psychologist |
| 4704333807 | MI | MD | Psychiatric/Mental Health Registered Nurse |
| CNP161033 | ME | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Recovery Healthcare Systems Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Engaging Life Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952
60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Youngtown, AZ
- NPI 1679112619
Addiction (Substance Use Disorder)
-
- Health Service Clinic/Center
- Tempe, AZ
- NPI 1588203525
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1750920799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8194 W DEER VALLEY RD # 505",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822127",
"telephone_number": "602-427-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E RIO SALADO PKWY STE 900",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852819126",
"telephone_number": "623-335-2628"
}
],
"practiceLocations": [
{
"address_1": "2550 W Union Hills Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850275187",
"country_code": "US",
"telephone_number": "602-845-0767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12600 N 113th Ave Ste B9",
"address_purpose": "LOCATION",
"city": "Youngtown",
"state": "AZ",
"postal_code": "853631163",
"country_code": "US",
"telephone_number": "602-845-0767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "DNP, PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-21",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0812X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
"state": "MI",
"license": "4704333807",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP161033",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "109346",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AK",
"license": "109346",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "109346",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "AK",
"license": "109346",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MI",
"license": "4704333807",
"primary": false
},
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "MI",
"license": "4704333807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.