Robert Roddy M.D. P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31580 Issued in MN

Legal business name

ROBERT RODDY M.D. P.A.

Practice address

1690 University Ave W
#120
St. Paul, MN 55104

Phone

(651) 999-0263

Fax

(651) 999-0264

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert RoddyNPI 1831197649

Title

Psychiatry

Phone

(651) 999-0263

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Robert J Roddy

  • Psychiatry Physician
  • Saint Paul, MN
  • NPI 1831197649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1902137425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "#120",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-999-0263",
            "fax_number": "651-999-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "#120",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-999-0263",
            "fax_number": "651-999-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT RODDY M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "RODDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHIATRY",
        "authorized_official_telephone_number": "651-999-0263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "31580",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "31580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459888100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riann Bree Robbins, M.D.
• Robert Binger M.a., PA
• Robert J Maley DDS PA
• Robert Mantell, RN, PHD, Licensed Psychologist
• Robert McCauley LLC
• Robert S. Robitaille DO LLC
• Robert W. Glineburg, D.D.S., M.S., P.a.
• Norma Corrinne Roberts-Hakizimana, RN
• Ashley Roberts
• Ashley Victoria Roberts

• Psychiatry Physician in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.