Provider Demographics
NPI:1376566877
Name:FRANKLIN, ROBERT KEITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KEITH
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 791509
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78279-1509
Mailing Address - Country:US
Mailing Address - Phone:210-446-8255
Mailing Address - Fax:888-823-3497
Practice Address - Street 1:2929 MOSSROCK STE 227
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5138
Practice Address - Country:US
Practice Address - Phone:210-446-8255
Practice Address - Fax:888-823-3497
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12725101YA0400X
TX19755101YM0800X, 101YP2500X
VA0701012693101YP2500X
MI6361007890103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219451601Medicaid
TX10060174OtherAMERIGROUP
TX600004385OtherMAGELLAN
TX002682953004OtherUNITED BEHAVIORAL HEALTH
TX429506OtherMENTAL HEALTH NETWORK
TX176147001Medicaid
TX277288OtherCOMPSYCH
TX7227LCOtherBLUE CROSS BLUE SHIELD
TXCBH2287035OtherCIGNA