Provider Demographics
NPI:1063702066
Name:JAMES A. ROBISON, PSY.D., P.A.
Entity type:Organization
Organization Name:JAMES A. ROBISON, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:772-794-7550
Mailing Address - Street 1:PO BOX 6271
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32961-6271
Mailing Address - Country:US
Mailing Address - Phone:772-794-7550
Mailing Address - Fax:
Practice Address - Street 1:800 20TH PL
Practice Address - Street 2:SUITE 2
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5391
Practice Address - Country:US
Practice Address - Phone:772-794-7550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY00005963251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health