Mark Eugene Robbins, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

46184 Issued in MA

Practice address

365 East St
Tewksbury, MA 01876-1950

Phone

(978) 858-3776

Fax

(978) 858-3494

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Department of Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Tewksbury, MA
  • NPI 1184741886
  NPD (past)
• Department of Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Tewksbury, MA
  • NPI 1710004320
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1487672515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 MASSACHUSETTS AVE # 244",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764101",
            "telephone_number": "339-707-5121",
            "fax_number": "781-240-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EAST ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761950",
            "telephone_number": "978-858-3776",
            "fax_number": "978-858-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Stevens Rd",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "MA",
            "postal_code": "027774711",
            "country_code": "US",
            "telephone_number": "508-672-6560",
            "fax_number": "508-672-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "46184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004341",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynne Ramos, MSN, CNP
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• Lisa Evelyn Reinold, MSN, RN
• Renew Dental P C
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• Joyann Robertson
• Jacqueline Rocheville
• Karrilee Rogers

• Child & Adolescent Psychiatry Physician in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.