DR. BRENDA ROBERTSON M.D.
NPI 1053558544
Psychiatry & Neurology - Child & Adolescent Psychiatry in Torrance, CA
- Individual
- Female
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
About BRENDA ROBERTSON
This page provides the complete NPI Profile along with additional information for Brenda Robertson, a provider established in Torrance, California with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1053558544 assigned on January 2009. The practitioner's primary taxonomy code is 2084P0804X with license number A113050 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1053558544 Verify this NPI
- Provider Name
- DR. BRENDA ROBERTSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 22939 HAWTHORNE BLVD STE 313 TORRANCE, CA 90505
- Location Phone
- (213) 598-6535
- Mailing Address
- PO BOX 1039 TORRANCE, CA 90505
- Mailing Phone
- (213) 598-6535
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-21-2009
- Last Update Date
- 07-11-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brenda Robertson opted out of Medicare effective on 11-02-2015 until 11-02-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A113050
- License State
- CA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Medicare Participation & PECOS Enrollment Status
Brenda Robertson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-02-2015
Opt-Out End Date: 11-02-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053558544, enumerated as an "individual" on January 21, 2009.
The provider is located at 22939 HAWTHORNE BLVD STE 313 TORRANCE, CA 90505 and the phone number is (213) 598-6535.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.