DR. ROBERT SPERRY JR. (NPI# 1497805659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497805659 |
| Entity Type | Individual |
| Full Name | DR. ROBERT SPERRY JR. |
| Credential | PH.D. |
| Practice Address |
605 Chase Dr Suite 2 Tyler TX 75701-9431 |
| Practice Telephone | 9035345968 |
| Practice Fax Number | 9035341261 |
| Mailing Telephone | 9035345968 |
| Mailing Fax Number | 9035341261 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 23178 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
23178 | TX | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
23178 | TX | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
23178 | TX | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
23178 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
6166 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0082EF | 01 |
| TX | 156900601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1487831368 | Robert Allen Sperry | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2008-01-23 |
| 1417045550 | Robert G Sperry | Specialist | 3130 Ellis St, Bellingham, WA 98225-1904 | 2006-10-11 |
| 1962421040 | Robert E Sperry | Internal Medicine | 7611 Forest Ave, Suite 100, Richmond, VA 23229-4946 | 2006-07-19 |
| Street Address |
605 CHASE DR SUITE 2 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-9431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577067 | Rowland Psychology, Pllc | Psychologist | 605 Chase Dr, Ste 2, Tyler, TX 75701-9431 | 2017-02-13 |
| 1558411744 | Robert M. Sperry, Ph.d., Inc. | Counselor | 605 Chase Dr, Suite 2, Tyler, TX 75701-9431 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399404 | Patricia Plasay | Psychologist | 1820 Shiloh Rd Ste 303, Tyler, TX 75703-2426 | 2020-02-29 |
| 1700905957 | Robert Wayne Mckenzie | Psychologist | 933 W Connally St, Tyler, TX 75701-1404 | 2007-03-28 |
| 1811900723 | William Paul Andrews | Psychologist | 306 E Houston St, Tyler, TX 75702-8218 | 2006-08-14 |
| 1730176926 | Herman Leroy Collum | Psychologist | 7252 County Road 492, Tyler, TX 75706-5226 | 2005-10-03 |
| 1912512468 | Halle Ross-young | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-09-11 |
| 1174059141 | Crystal L. Frazier I | Psychologist | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2017-05-11 |
| 1508225145 | Benjamin Daniel Boynton | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2016-02-10 |
| 1952707556 | Wilson Renfroe, Psyd, Pllc | Psychologist | 4801 Troup Hwy, Suite 502, Tyler, TX 75703-2356 | 2014-11-08 |
| 1871851170 | Dennis Roynald Combs | Psychologist | 3900 University Blvd, Department of Psychology, Ut Tyler, Tyler, TX 75799 | 2012-04-25 |
| 1114236288 | Summit Psychological Services, Pllc | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2010-10-06 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.