Active NPI
John F Robertson, PH.D.
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1942439666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8017
- Practice address
- 5104 N Orange Blossom TRL
Suite 222
Orlando, FL 32810-1042 - Phone
- (407) 297-1185
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8017 | FL | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 8474 | NY |
Addresses
Primary practice location
5104 N Orange Blossom TRL
Suite 222
Orlando, FL 32810-1042
Mailing address
5104 N Orange Blossom TRL
Suite 222
Orlando, FL 32810-1042
Phone (407) 297-1185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201002000961 | FL | Practitioner - Clinical Psychologist | 8224165642 | Practice locations: Orlando, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4019 Clarcona Ocoee Rd
Orlando, FL 32810-4270
Phone (407) 297-1185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8474 | NY | MD | Addiction (Substance Use Disorder) Psychologist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1942439666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 N ORANGE BLOSSOM TRL",
"address_2": "SUITE 222",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101042",
"telephone_number": "407-297-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 N ORANGE BLOSSOM TRL",
"address_2": "SUITE 222",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101042",
"telephone_number": "407-297-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8017",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "8474",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.