MR. KEVIN D ROBERTS (NPI# 1558841684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558841684 |
| Entity Type | Individual |
| Full Name | MR. KEVIN D ROBERTS |
| Practice Address |
20 First Street Apt 5 St. Augustine FL 32084 |
| Practice Telephone | 9042936757 |
| Mailing Telephone | 9042936757 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628102 | Kevin Roberts | Student in an Organized Health Care Education/Training Program | 15 Sunset Dr, Medway, MA 02053-2007 | 2019-09-16 |
| 1326402819 | Kevin Roberts | Nurse Practitioner | 36800 Queen Bee Ln, Grand Island, FL 32735-8950 | 2016-04-11 |
| 1427359231 | Kevin Brent Roberts | Physical Therapist | 10 Crossroads Ct, Alton, IL 62002-4100 | 2010-11-10 |
| 1912223165 | Kevin Mathis Roberts | Specialist/Technologist | 10590 Town Center Dr Ste 100, Rancho Cucamonga, CA 91730-0361 | 2010-04-13 |
| 1952412769 | Kevin A Roberts | Chiropractor | 924 24th St Ste 2, Ogden, UT 84401-2641 | 2006-08-31 |
| 1326036104 | Kevin Jay Roberts | Psychiatry & Neurology | 3 Walden Ridge Dr, Suite 200, Asheville, NC 28803-8587 | 2005-10-06 |
| 1386203347 | Kevin Roberts | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2019-06-12 |
| 1669917910 | Kevin Roberts | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2016-12-22 |
| 1942655519 | Kevin Roberts | Social Worker | 730 Medical Center Ct, Chula Vista, CA 91911 | 2016-05-02 |
| 1477950335 | Kevin Roberts | Specialist/Technologist | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2014-11-20 |
| Street Address |
20 FIRST STREET APT 5 |
| City | ST. AUGUSTINE |
| State | FL |
| Zip Code | 32084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| 1609138262 | Kristen Danielle Derouen | Occupational Therapist | 161 Marine Street, Suite A, St. Augustine, N/A 32084 | 2012-06-11 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
| 1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
| 1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
| 1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
| 1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
| 1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
| 1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
| 1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
| 1952855082 | Day By Day Wellness Inc | Psychologist | 207 Blue Heron Blvd E, Suite 203, Riviera Beach, FL 33404-4560 | 2016-08-05 |
| Find all providers with the same taxonomy | ||||
| City | ST. AUGUSTINE |
| Zip Code | 32084 |
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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.