Individual provider Active NPI

Tracy Lynn Robinson

  • Marriage & Family Therapist
  • North Syracuse, NY
National Provider Identifier
1437848348
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
06-P108021-02 Issued in NY
Practice address
127 Maple Manor Dr # 2
North Syracuse, NY 13212-2136
Phone
(315) 400-7162
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 06-P108021-02 NY Primary

Addresses

Primary practice location

127 Maple Manor Dr # 2
North Syracuse, NY 13212-2136

Mailing address

200 Waring Rd
Syracuse, NY 13224-2263
Phone (315) 400-7162

Other practice location 1

200 Waring Rd
Syracuse, NY 13224-2263
Phone (315) 400-7162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06-P108021-02NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1437848348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WARING RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132242263",
            "telephone_number": "315-400-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAPLE MANOR DR # 2",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122136",
            "telephone_number": "315-400-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Waring Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132242263",
            "country_code": "US",
            "telephone_number": "315-400-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "06-P108021-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.