Individual provider Active NPI

Mark Scot Robison

  • Peer Specialist
  • Yucca Valley, CA
National Provider Identifier
1801584669
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-YCVWMF Issued in CA
Practice address
7281 Dumosa Ave Ste 3And4
Yucca Valley, CA 92284-3769
Phone
(760) 853-4755
Fax
(760) 513-9717
NPI assigned
Apr 28, 2023
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-YCVWMF CA Primary

Addresses

Primary practice location

7281 Dumosa Ave Ste 3And4
Yucca Valley, CA 92284-3769

Mailing address

8577 Condalia Ave
Yucca Valley, CA 92284-4192
Phone (951) 231-5257

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

State licenses

LicenseStateTypeSpecialty
MPSS-YCVWMFCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Star Behavioral Health, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Mfi Recovery Center PastSince Apr 1, 2023 Accepting new patients
Recovery Innovations, Inc PastSince Apr 1, 2023 Accepting new patients

Locations

7281 Dumosa Ave
Ste 3
Yucca Valley, CA 92284
Phone (760) 365-7546

Organizations & group practices 3

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1801584669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 CONDALIA AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922844192",
            "telephone_number": "951-231-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 DUMOSA AVE STE 3AND4",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843769",
            "telephone_number": "760-853-4755",
            "fax_number": "760-513-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "MARK",
        "middle_name": "SCOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-YCVWMF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.