DR. MICHAEL ROBERTSON (NPI# 1689878290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689878290 |
Entity Type | Individual |
Full Name | DR. MICHAEL ROBERTSON |
Credential | PSYD |
Practice Address |
604 1st St Ste 100 Princeton MN 55371-1606 |
Mailing Address |
205 N Rum River Dr # 273 Princeton MN 55371-1618 |
Practice Telephone | 7633086998 |
Mailing Telephone | 6126002674 |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-01-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4537 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
114 N Rum River Dr, Suite 103, Princeton, MN 553711663 | 7634829598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952672610 | Michael Austin Robertson | Dentist | 2730 Country Club Rd Ste A, Lucas, TX 75002-8781 | 2012-01-25 |
1154528701 | Michael R Robertson | Pharmacist | 7467 Saint Andrews Rd Ste 6, Irmo, SC 29063-2876 | 2007-06-28 |
1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
1467545939 | Michael Stephen Robertson | Pharmacist | 6109 Fort Ave, Lynchburg, VA 24502-1933 | 2006-10-02 |
1255311791 | Michael Robertson | Nurse Anesthetist, Certified Registered | 8801 S 101 E Ave, Tulsa, OK 74133 | 2006-01-19 |
1053392126 | Michael Alexander Robertson Sr. | Physician Assistant | Delorenzo Health Clinic, Pentagon, Arlington, VA 22202 | 2005-11-07 |
1306840798 | Michael Anthony Robertson | Chiropractor | 118 E John Carpenter Fwy, Suite 150, Irving, TX 75062-3569 | 2005-06-13 |
1417301664 | Michael J Robertson | Family Medicine | 5275 State Route 122 Ste 100, Franklin, OH 45005-9617 | 2016-04-14 |
1184086290 | Michael Joseph Robertson | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2016-03-28 |
1861890345 | Michael Robertson Jr. | Nurse Practitioner | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2014-12-15 |
Street Address |
604 1ST ST STE 100 |
City | PRINCETON |
State | MN |
Zip Code | 55371-1606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
Find all providers in zip 55371 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043709504 | Susan Ellen Darley X | Psychologist | 16 Deer Path, Princeton, NJ 08540-4053 | 2018-05-09 |
1871035733 | Hillary Koskinen Vescio | Psychologist | 204 Camelot Ct, Princeton, NJ 08540-9003 | 2016-11-09 |
1629439997 | Daniel Goldberg | Psychologist | 601 Ewing St Ste C9, Princeton, NJ 08540-2756 | 2016-03-15 |
1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
1407152804 | Linda R Hay | Psychologist | 344 Nassau St, Suite 101, Princeton, NJ 08540-4622 | 2011-02-02 |
1114243615 | Jonathan Geller | Psychologist | 247 Nassau St, Princeton, NJ 08540-4619 | 2010-04-09 |
1083871925 | Peter Owen Whitmer | Psychologist | 10 Laurel Ln, Princeton, MA 01541-1018 | 2008-05-19 |
1225259658 | Linda I Meyers | Psychologist | 484 Prospect Ave, Princeton, NJ 08540-4077 | 2007-05-02 |
1427170703 | Charles T Bachus, Pa | Psychologist | 166 Bunn Dr Ste 101, Princeton, NJ 08540-2800 | 2007-04-06 |
1285770842 | Aaron Frank Mccrory Torrance | Psychologist | 601 Ewing St Ste B2, Princeton, NJ 08540-2755 | 2007-01-30 |
Find all providers in PRINCETON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.