Individual provider Active NPI

Robert Blackgrove, PSY.D.

  • Clinical Psychologist
  • Palmetto Bay, FL
National Provider Identifier
1861696494
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6673 Issued in FL
Practice address
8305 SW 160TH St
Palmetto Bay, FL 33157-3642
Phone
(305) 964-5921
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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 PY6673 FL Primary

Addresses

Primary practice location

8305 SW 160TH St
Palmetto Bay, FL 33157-3642

Mailing address

8305 SW 160TH St
Palmetto Bay, FL 33157-3642
Phone (305) 964-5921

Other practice location 1

5901 SW 74th St Ste 214
South Miami, FL 33143-5150
Phone (305) 964-5921

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Blackgrove, Psy.D. LLC Clinical CurrentSince Jun 28, 2020 Accepting new patients
Sunshine Psychological Services Inc Clinical Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1861696494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SW 160TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573642",
            "telephone_number": "305-964-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SW 160TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573642",
            "telephone_number": "305-964-5921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 SW 74th St Ste 214",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435150",
            "country_code": "US",
            "telephone_number": "305-964-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKGROVE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.