BO DEAN ROBERTSON
NPI 1720676323
Psychologist in El Segundo, CA

Active since January 08, 2021
483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 90245(310) 653-6860 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bo Dean Robertson NPPES

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

BO DEAN ROBERTSON (NPI 1720676323) is an individual psychologist in El Segundo, California and active in the NPI registry since January 2021. He maintains a secondary practice location in Wright Patterson Afb.

NPPES Registry Identity

NPI1720676323
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBO DEAN ROBERTSON
Location Address483 N AVIATION BLVD BLDG 210El Segundo, CA 90245-2808
Mailing Address1983 Spring Ridge DrXenia, OH 45385-9800 · (808) 352-3073
Sole ProprietorYes
Enumeration DateJanuary 8, 2021
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1720676323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

483 N AVIATION BLVD BLDG 210, El Segundo, CA 90245

Secondary Practice Location 1

Location 14881 Sugar Maple DrWright Patterson AFB, OH 45433-5529 · Phone (937) 257-1368

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.

Military/U.S. Coast Guard Pharmacy
483 N AVIATION BLVD BLDG 210, BLDG 210
EL SEGUNDO, CA 90245
Pediatrics
483 N AVIATION BLVD BLDG 210, 61 MDS/SGOC
EL SEGUNDO, CA 90245
Pharmacist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Dentist (General Practice)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Physical Therapist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Pharmacist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Nurse Practitioner (Adult Health)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Family Medicine
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245

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 Bo Robertson's NPI number?

The NPI number for Bo Robertson is 1720676323. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Bo Robertson located?

Bo Robertson practices at 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245. The listed phone number is (310) 653-6860.

What is Bo Robertson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Bo Robertson was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.