Organization Active NPI

Robyn T. Debary PSYD., Inc.

  • Clinical Child & Adolescent Psychologist
  • Fairfield, CA
National Provider Identifier
1780052092
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
27443 Issued in CA
Legal business name
ROBYN T. DEBARY PSYD., INC.
Practice address
3694 Hilborn Rd
Ste 150
Fairfield, CA 94534-7988
Phone
(808) 783-3387
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Robyn Takeshita Debary, PSYDNPI 1942588108
Title
Psychologist
Phone
(808) 783-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 27443 CA Primary

Addresses

Primary practice location

3694 Hilborn Rd
Ste 150
Fairfield, CA 94534-7988

Mailing address

2401 Waterman Blvd
Ste A4, PMB 265
Fairfield, CA 94534-1800
Phone (808) 783-3387

National Provider Directory

National Provider Directory

Locations

2401 Waterman Blvd
Ste A4
Fairfield, CA 94534
Phone (707) 639-0256

718 Main St
Ste 200
Suisun City, CA 94585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1780052092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WATERMAN BLVD",
            "address_2": "STE A4, PMB 265",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341800",
            "telephone_number": "808-783-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD",
            "address_2": "STE 150",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "808-783-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN T. DEBARY PSYD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "TAKESHITA DEBARY",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-783-3387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "27443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.