Active NPI
Robin Mary Loralei Parucka, PH.D.
- Addiction (Substance Use Disorder) Psychologist
- Sunrise Beach, MO
National Provider Identifier
1902027188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 6301005550
- Practice address
- 81 Fair Oaks Lane
Sunrise Beach, MO 65079-5593 - Phone
- (573) 374-1614
- Fax
- (573) 374-1614
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301005550 | MI | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6301005550 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301005550 | MI |
Addresses
Primary practice location
81 Fair Oaks Lane
Sunrise Beach, MO 65079-5593
Mailing address
81 Fair Oaks Lane
Sunrise Beach, MO 65079-5593
Phone (573) 374-1614
Other names 1
- Dr. Mary Robin Loralei Parucka
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005550 | MI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Guidance Services | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902027188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 FAIR OAKS LANE",
"city": "SUNRISE BEACH",
"state": "MO",
"postal_code": "650795593",
"telephone_number": "573-374-1614",
"fax_number": "573-374-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 FAIR OAKS LANE",
"city": "SUNRISE BEACH",
"state": "MO",
"postal_code": "650795593",
"telephone_number": "573-374-1614",
"fax_number": "573-374-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARUCKA",
"first_name": "ROBIN MARY",
"middle_name": "LORALEI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301005550",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301005550",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301005550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ROBIN",
"last_name": "PARUCKA",
"middle_name": "LORALEI",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sunrise Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.