Active NPI
Nicole Robinson
- Behavior Technician
- Melville, NY
National Provider Identifier
1497231732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 225 Broadhollow Rd Ste 402
Melville, NY 11747-4899 - Phone
- (631) 385-7780
- Fax
- (631) 385-7795
- NPI assigned
- Jul 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1357924191 | NY | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Mailing address
2700 Westchester Ave Ste 300
Purchase, NY 10577-2554
Phone (914) 326-2868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1358791191 | Other | NY | EARLY CHILDHOOD EDUCATION (BIRTH-GRADE 2) INITIAL CERTIFICATE |
| 1357924131 | Other | NY | STUDENTS WITH DISABILITIES (BIRTH-GRADE 2) INITIAL CERTIFICATE |
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 |
|---|---|---|---|
| 1357924191 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1497231732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTCHESTER AVE STE 300",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772554",
"telephone_number": "914-326-2868",
"fax_number": "914-328-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BROADHOLLOW RD STE 402",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474899",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1357924191",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY CHILDHOOD EDUCATION (BIRTH-GRADE 2) INITIAL CERTIFICATE",
"identifier": "1358791191",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENTS WITH DISABILITIES (BIRTH-GRADE 2) INITIAL CERTIFICATE",
"identifier": "1357924131",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.