Individual provider Active NPI

Pamela Robinson, DNP, PSYD

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1750920799
Registry record updated May 6, 2020
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP161033 Issued in ME
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

Updated by the provider on May 6, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
109346AKMDAddiction (Substance Use Disorder) Psychologist
4704333807MIMDPsychiatric/Mental Health Registered Nurse
CNP161033MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Recovery Healthcare Systems Inc Addiction (Substance Use Disorder) Current Accepting new patients
Engaging Life Center Addiction (Substance Use Disorder) CurrentSince Jun 21, 2020 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.

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

Verify at the official NPI Registry.