Organization Active NPI

Dr. Charles Edward Robins Psychologist, P.C.

  • Psychologist
  • New York, NY
National Provider Identifier
1427341197
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
006741-1 Issued in NY
Legal business name
DR. CHARLES EDWARD ROBINS PSYCHOLOGIST, P.C.
Practice address
1841 Broadway RM 801
New York, NY 10023-7603
Phone
(212) 586-3773
Fax
(212) 977-1057
NPI assigned
May 27, 2011
Last updated
Dec 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Charles Robins, S.T.D., PH.D.NPI 1346362951
Title
President
Phone
(212) 586-3773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 006741-1 NY
Mental Health Counselor 101YM0800X 006741-1 NY
Clinical Neuropsychologist 103G00000X 006741-1 NY
Psychologist 103T00000X 006741-1 NY Primary
Adult Development & Aging Psychologist 103TA0700X 006741-1 NY
Cognitive & Behavioral Psychologist 103TB0200X 006741-1 NY
Clinical Psychologist 103TC0700X 006741-1 NY
Counseling Psychologist 103TC1900X 006741-1 NY
Clinical Child & Adolescent Psychologist 103TC2200X 006741-1 NY
Family Psychologist 103TF0000X 006741-1 NY
Forensic Psychologist 103TF0200X 006741-1 NY
Intellectual & Developmental Disabilities Psychologist 103TM1800X 006741-1 NY
Psychoanalysis Psychologist 103TP0814X 006741-1 NY
Group Psychotherapy Psychologist 103TP2701X 006741-1 NY
Psychoanalyst 102L00000X 006741-1 NY

Addresses

Primary practice location

1841 Broadway RM 801
New York, NY 10023-7603

Mailing address

1841 Broadway RM 801
New York, NY 10023-7603
Phone (212) 586-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521002004 NY Part B Supplier - Clinic/Group Practice 4385867258 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1841 Broadway
Rm 801
New York, NY 10023
Phone (212) 586-3773

61 W 62nd St
Apt 4F
New York, NY 10023
Phone (212) 586-3773

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1427341197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "212-586-3773",
            "fax_number": "212-977-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "212-586-3773",
            "fax_number": "212-977-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHARLES EDWARD ROBINS PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ROBINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-586-3773",
        "authorized_official_credential": "S.T.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006741-1",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "006741-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.