Organization Active NPI

Dr. Eric Robbins MD LLC

  • Psychiatry Physician
  • Davie, FL
National Provider Identifier
1669131017
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR. ERIC ROBBINS MD LLC
Practice address
10400 Griffin Rd Ste 109
Davie, FL 33328-3320
Phone
(954) 341-5215
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Eric Robbins, MDNPI 1629398961
Title
Ceo/MD
Phone
(585) 771-7194

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10400 Griffin Rd Ste 109
Davie, FL 33328-3320

Mailing address

3460 NW 82ND Dr
Pembroke Pines, FL 33024-3575
Phone (585) 771-7194

Other identifiers 1

IdentifierTypeStateIssuer
015442500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000178 FL Part B Supplier - Clinic/Group Practice 4981097615 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Locations

6100 Griffin Rd
Ste 2
Davie, FL 33314

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1669131017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 NW 82ND DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243575",
            "telephone_number": "585-771-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD STE 109",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283320",
            "telephone_number": "954-341-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIC ROBBINS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "585-771-7194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015442500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.