Active NPI
Polly Robinson
- Psychologist
- Southampton, NY
National Provider Identifier
1467729665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018740
- Practice address
- 35 Cameron St
Southampton, NY 11968-4927 - Phone
- (631) 804-3876
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018740 | NY | Primary |
Addresses
Primary practice location
35 Cameron St
Southampton, NY 11968-4927
Mailing address
35 Cameron St
Southampton, NY 11968-4927
Phone (631) 804-3876
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018740 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southampton Ufsd | Past | 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.
-
- Local Education Agency (LEA)
- Southampton, NY
- NPI 1073663670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1467729665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CAMERON ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684927",
"telephone_number": "631-804-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CAMERON ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684927",
"telephone_number": "631-804-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "POLLY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.