Provider Demographics
NPI:1376568857
Name:ROBERT P. AUSTIN PH.D. P.C.
Entity Type:Organization
Organization Name:ROBERT P. AUSTIN PH.D. P.C.
Other - Org Name:AUSTIN ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:781-646-5726
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-646-5726
Mailing Address - Fax:781-641-4864
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-646-5726
Practice Address - Fax:781-641-4864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1914103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA722115OtherTUFTS HEALTH PLAN
MA183481000OtherMAGELLAN BEHAVIORAL HEALT
MAP10374OtherBLUE CROSS BLUE SHIELD MA
MAP10374OtherBLUE CROSS BLUE SHIELD MA