DR. ROBIN POTTER - NPI 1023284551 - Psychologist in Phoenix, AZ

Q: What is Robin Potter's NPI number?

The NPI number for Robin Potter is 1023284551. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Q: What is Robin Potter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Robin Potter enrolled in Medicare?

No. Robin Potter has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Robin Potter was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Robin Potter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBIN POTTER (NPI 1023284551) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (3824) and active in the NPI registry since May 2008. She has opted out of Medicare through June 23, 2027.

NPPES Registry Identity

NPI1023284551

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROBIN POTTER

Location Address3747 N 24TH STPhoenix, AZ 85016-6510

Mailing Address3747 N 24th StPhoenix, AZ 85016-6510 · (028) 404-9626

Phone(602) 840-4962

Sole ProprietorNo

Enumeration DateMay 5, 2008

Last NPPES UpdateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1023284551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · 3824

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3747 N 24TH ST, Phoenix, AZ 85016

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Robin Potter has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2023 through June 23, 2027.

Opt-Out Effective DateJune 23, 2023

Opt-Out In Effect ThroughJune 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDITH M BROWNE PSY.D.

Psychologist (Clinical)