Individual provider Active NPI

Robert Franklin Mehl III, PHD

  • Clinical Psychologist
  • Rockwall, TX
National Provider Identifier
1912947979
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22143 Issued in TX
Practice address
2237 Ridge Rd
Ste 101
Rockwall, TX 75087-5161
Phone
(972) 771-3969
Fax
(972) 771-8258
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 22143 TX
Clinical Psychologist 103TC0700X 22143 TX Primary
Clinical Child & Adolescent Psychologist 103TC2200X 22143 TX

Addresses

Primary practice location

2237 Ridge Rd
Ste 101
Rockwall, TX 75087-5161

Mailing address

2237 Ridge Rd
Ste 101
Rockwall, TX 75087-5161
Phone (972) 771-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000607 TX Practitioner - Clinical Psychologist 2769489269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert F Mehl III PHD and Assoc LLCGroup PAC ID 7618950296, 6 clinicians

Practice addresses (Care Compare)

2237 Ridge Rd
Suite 101
Rockwall, TX 75087-5161
Phone (972) 771-3969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22143TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F Mehl III PHD & Assoc LLC CurrentSince Jan 1, 1981 Accepting new patients

Locations

2237 Ridge Rd
Ste 101
Rockwall, TX 75087
Phone (972) 771-3969

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1912947979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875161",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875161",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHL",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "22143",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22143",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "22143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.