1497830400 NPI number — DR. HEATHER BRANDT ROBINS PSY.D.

Table of content: DR. HEATHER BRANDT ROBINS PSY.D. (NPI 1497830400)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497830400 NPI number — DR. HEATHER BRANDT ROBINS PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINS
Provider First Name:
HEATHER
Provider Middle Name:
BRANDT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRANDT
Provider Other First Name:
HEATHER
Provider Other Middle Name:
JILL
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSY.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497830400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 POPHAM RD
Provider Second Line Business Mailing Address:
SUITE 1J
Provider Business Mailing Address City Name:
SCARSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10583-4252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-725-5654
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 POPHAM RD
Provider Second Line Business Practice Location Address:
SUITE 1J
Provider Business Practice Location Address City Name:
SCARSDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10583-4252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-725-5654
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  015583 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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