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ROBERT DUDLEY
NPI 1477908028
Marriage & Family Therapist in Santa Rosa, CA

Active since May 02, 2016PECOS Enrolled
1160 N DUTTON AVE, SUITE 230, SANTA ROSA, CA 95401(707) 303-3243(707) 526-8310 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Dudley NPPES

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

ROBERT DUDLEY (NPI 1477908028) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (90336) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477908028
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameROBERT DUDLEY
Location Address1160 N DUTTON AVE, SUITE 230Santa Rosa, CA 95401-4600
Mailing Address1160 N Dutton Ave, Suite 230Santa Rosa, CA 95401-4600 · (707) 303-3243 · Fax (707) 526-8310
Phone(707) 303-3243
Fax(707) 526-8310
Sole ProprietorYes
Enumeration DateMay 2, 2016
✔ NPI 1477908028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 90336
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1160 N DUTTON AVE, Santa Rosa, CA 95401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Dudley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. STEVAN KERAM M.D.
Psychiatry & Neurology (Psychiatry)
1160 N DUTTON AVE, SUITE 255
SANTA ROSA, CA 95401
Sonoma County (707) 526-8800
CRYSTAL CARPENTER
Technician, Health Information (Assistant Record Technician)
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
MR. EVAN BACHELDER LMT
Mechanotherapist
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 541-6258
ALEXANDRA DEXTER ND
Naturopath
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 888-4191
PHILIPPA LOCKWOOD
Technician, Health Information (Assistant Record Technician)
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
LESLIE BURKE
Behavior Technician
1160 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (855) 223-7123
KIMBERLY PETERSON MA, MFTI
Marriage & Family Therapist
1160 N DUTTON AVE, SUITE 105
SANTA ROSA, CA 95401
Sonoma County (707) 545-2700
MRS. DANA ELIZABETH FALLS M.A., MFT
Marriage & Family Therapist
1160 N DUTTON AVE, SUITE 250
SANTA ROSA, CA 95401
Sonoma County (707) 696-6138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Dudley's NPI number?

The NPI number for Robert Dudley is 1477908028. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Robert Dudley located?

Robert Dudley practices at 1160 N Dutton Ave Suite 230, Santa Rosa, CA 95401. The listed phone number is (707) 303-3243.

What is Robert Dudley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Robert Dudley enrolled in Medicare?

Yes. Robert Dudley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Dudley was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.