DR. ROBIN MARY LORALEI PARUCKA PH.D.
NPI 1902027188
Psychologist - Addiction (Substance Use Disorder) in Sunrise Beach, MO
- Individual
- Female
- Psychologist
- Addiction (Substance Use Disorder)
About ROBIN MARY PARUCKA
This page provides the complete NPI Profile along with additional information for Robin Mary Parucka, a provider established in Sunrise Beach, Missouri with a medical specialization in Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1902027188 assigned on May 2007. The practitioner's primary taxonomy code is 103TA0400X with license number 6301005550 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1902027188 Verify this NPI
- Provider Name
- DR. ROBIN MARY LORALEI PARUCKA PH.D.
- Other Name
- DR. MARY ROBIN LORALEI PARUCKA PH.D.
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 81 FAIR OAKS LANE SUNRISE BEACH, MO 65079
- Location Phone
- (573) 374-1614
- Location Fax
- (573) 374-1614
- Mailing Address
- 81 FAIR OAKS LANE SUNRISE BEACH, MO 65079
- Mailing Phone
- (573) 374-1614
- Mailing Fax
- (573) 374-1614
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-02-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301005550
- License State
- MI
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 6301005550 (MI) |
| 2 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 6301005550 (MI) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902027188, enumerated as an "individual" on May 02, 2007.
The provider is located at 81 FAIR OAKS LANE SUNRISE BEACH, MO 65079 and the phone number is (573) 374-1614.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
