Individual provider Active NPI

Robert M Coleman, PSY.D.

  • Clinical Psychologist
  • Largo, FL
National Provider Identifier
1770670192
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8157 Issued in FL
Practice address
11200 Seminole Blvd Ste 101
Largo, FL 33778-3240
Phone
(727) 272-0097
NPI assigned
Oct 6, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8157 FL Primary

Addresses

Primary practice location

11200 Seminole Blvd Ste 101
Largo, FL 33778-3240

Mailing address

11200 Seminole Blvd Ste 101
Largo, FL 33778-3240
Phone (727) 272-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001043 FL Practitioner - Clinical Psychologist 9234324401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11200 Seminole Blvd
Suite 101
Largo, FL 33778-3240
Phone (727) 272-0097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8157FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Coleman PSYD LLC Clinical CurrentSince Jun 1, 2012 Accepting new patients

Locations

11200 Seminole Blvd
Ste 101
Largo, FL 33778
Phone (727) 272-0097

11599 Seminole Blvd
Largo, FL 33778
Phone (727) 272-0097

499 Alternate Keene Rd
Largo, FL 33771
Phone (727) 586-4211

801 West Bay Dr
Ste 305
Largo, FL 33770
Phone (727) 272-0097

1820 Shore Dr S
South Pasadena, FL 33707
Phone (727) 384-9300

5601 31st St S
St Petersburg, FL 33712
Phone (727) 848-3578

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1770670192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-272-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-272-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.