Individual provider Active NPI

Robyn S Deluca, PH.D., MHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1285362954
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P117107 Issued in NY
Practice address
15 W 84TH St Apt 1F
New York, NY 10024-4704
Phone
(917) 274-7196
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P117107 NY Primary

Addresses

Primary practice location

15 W 84TH St Apt 1F
New York, NY 10024-4704

Mailing address

124 W 60TH St Apt 30B
New York, NY 10023-7468
Phone (631) 942-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P117107NYMDMental Health Counselor
014831NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn S. Deluca PH.D. Mental Health CurrentSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1285362954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 60TH ST APT 30B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237468",
            "telephone_number": "631-942-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 84TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244704",
            "telephone_number": "917-274-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ROBYN",
        "middle_name": "S",
        "credential": "PH.D., MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P117107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.