TARA L ROBERTSON MS.,PSYD
NPI 1831229376
Psychologist in Green Bay, WI

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-3630 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara L Robertson Ms.,psyd NPPES

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

TARA L ROBERTSON MS.,PSYD (NPI 1831229376) is an individual psychologist in Green Bay, Wisconsin, licensed in Wisconsin (2750) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1831229376
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTARA L ROBERTSONCredential: MS.,PSYD
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing Address301 E Saint Joseph StGreen Bay, WI 54301-2241 · (920) 433-3630
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1831229376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2750
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.
301 E SAINT JOSEPH ST, Green Bay, WI 54301

Other Identifiers 2

Medicaid1831229376WI
Medicaid43596700WI

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

Tara L Robertson Ms.,psyd 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 ID7618032426
PECOS Enrollment IDI20090211000346
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.

Psychiatry & Neurology (Psychiatry)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Nurse Practitioner (Psychiatric/Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor (Professional)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301

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 Tara Robertson's NPI number?

The NPI number for Tara Robertson is 1831229376. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Tara Robertson located?

Tara Robertson practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-3630.

What is Tara Robertson's specialty?

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

Is Tara Robertson enrolled in Medicare?

Yes. Tara Robertson 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 Tara Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica list Tara Robertson 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 Tara Robertson was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.