DR. ROBERT M. LICATA M.D.
NPI 1669522769
Psychiatry & Neurology - Psychiatry in Shallotte, NC

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert M. Licata M.d. NPPES

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

DR. ROBERT M. LICATA M.D. (NPI 1669522769) is an individual psychiatry provider in Shallotte, North Carolina, licensed in North Carolina (2014-01510) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1971).

NPPES Registry Identity

NPI1669522769
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERT M. LICATACredential: M.D.
Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094
Mailing Address6200 Cottage Creek RdSouthport, NC 28461-2983 · (571) 216-1272
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1971
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 12, 2015
NPI 1669522769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NC · 2014-01510 Licensed in VA · 0101027066
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

120 COASTAL HORIZONS DR, Shallotte, NC 28470

Other Identifiers 1

Medicare UPIND18115

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert M. Licata M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567611494
PECOS Enrollment IDI20151110000931
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Community/Behavioral Health
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Professional)
120 COASTAL HORIZONS DR, HIGHWAY 17 SOUTH
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470

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 Licata's NPI number?

The NPI number for Robert Licata is 1669522769. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Robert Licata located?

Robert Licata practices at 120 Coastal Horizons Dr, Shallotte, NC 28470. The listed phone number is (910) 754-4515.

What is Robert Licata's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Licata enrolled in Medicare?

Yes. Robert Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Licata accept?

Health plans from Blue Cross and Blue Shield of NC list Robert Licata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Licata was last updated on August 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.