Robin Rosenthal PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1883 Issued in GA

Legal business name

ROBIN ROSENTHAL PHD LLC

Practice address

340 Boulevard NE Ste 345
Atlanta, GA 30312-1272

Phone

(404) 309-0111

Fax

(404) 653-0466

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robin Rosenthal, PHD

Title

Owner

Phone

(404) 309-0111

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1760890420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE STE 345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121272",
            "telephone_number": "404-309-0111",
            "fax_number": "404-653-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE STE 345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121272",
            "telephone_number": "404-309-0111",
            "fax_number": "404-653-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN ROSENTHAL PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-309-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680369A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Robertson, LCSW
• Simon Robertson, LMSW
• Tami Carby Robertson, O.D.
• Torri Robertson, CERTIFIED HAIR LOSS
• Craig Terrell Robey
• Kirsten Robin
• Rachel Pechersky Robins, MD
• Mia Janice Robinson White, M.D.
• Alexis Theresa Robinson, PHARMD
• Amy Jo Robinson, PHYSICAL THERAPIST

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.