Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Robert M. Licata, MD

Individual provider Psychiatry Physician · NPI 1669522769

Dr. Robert M. Licata, MD is a Psychiatry in Shallotte, North Carolina. Graduated from Georgetown University School of Medicine in 1971, 55 years ago. Practices with Coastal Horizons Center, Inc, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.

Years since qualifying
55
Trained at
Georgetown University School of Medicine
Licensed in
NC, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone: (910) 754-4515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2014-01510 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101027066 (VA)

Record details

NPI number1669522769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESAugust 12, 2015
Mailing address6200 Cottage Creek Rd, Southport, NC 28461-2983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice Coastal Horizons Center, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Shallotte