DR. ROBERT MICHAEL SERINO PH. D. NPI 1598784027

NPI Information

NPI: 1598784027
Provider Name: DR. ROBERT MICHAEL SERINO, PH. D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
5170 SANDERLIN AVE
SUITE 204
MEMPHIS, TN
ZIP 38117
Phone: (901) 761-2622
Get Directions

DR. Robert Michael Serino, PH. D. is a clinical psychologist in Memphis, TN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Robert Michael Serino, PH. D. NPI is 1598784027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5170 SANDERLIN AVE
SUITE 204
MEMPHIS, TN
ZIP 38117-360
Phone: (901) 761-2622
Fax: (901) 761-2355

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		78-24P	ARKANSAS	No
2	103TC0700X	Psychologist	Clinical	P551	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0013747	OTHER	TENNESSEE	BLUE CROSS/BLUE SHIELD
2	104142	OTHER	TENNESSEE	VALUE OPTIONS
3	R70587	MEDICARE UPIN	TENNESSEE
4	3680253	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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