Active NPI
Robin Charleston, PHD
- Psychologist
- Mount Laurel, NJ
National Provider Identifier
1851536288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S105212
- Practice address
- 3221 Route 38 Ste 201
Mount Laurel, NJ 08054-9765 - Phone
- (609) 351-3306
- NPI assigned
- Dec 15, 2008
- Last updated
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017877 | PA | |
| Psychologist | 103T00000X | 35S105212 | NJ | Primary |
Addresses
Primary practice location
3221 Route 38 Ste 201
Mount Laurel, NJ 08054-9765
Mailing address
3221 Route 38 Ste 201
Mount Laurel, NJ 08054-9765
Phone (609) 351-3306
Other names 1
- Robin Duckett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S105212 | NJ | MD | Psychologist |
| PS017877 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duckett & Charleston Psychological Associates, LLC | Current | Accepting new patients | |
| Duckett & Charleston Psychological Associates, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Burlington, NJ
- NPI 1134659410
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Laurel, NJ
- NPI 1053000489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1851536288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 ROUTE 38 STE 201",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080549765",
"telephone_number": "609-351-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 ROUTE 38 STE 201",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080549765",
"telephone_number": "609-351-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLESTON",
"first_name": "ROBIN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017877",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S105212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "DUCKETT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.