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

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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: July 19, 2026.

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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.