Individual provider Active NPI

Robert Dobrenski, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1710902895
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015170 Issued in NY
Practice address
105 E 38TH St
#6B
New York, NY 10016-2637
Phone
(914) 912-1780
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015170 NY Primary

Addresses

Primary practice location

105 E 38TH St
#6B
New York, NY 10016-2637

Mailing address

105 E 38TH St
#6B
New York, NY 10016-2637
Phone (914) 912-1780

Other identifiers 1

IdentifierTypeStateIssuer
02300558MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001698 NY Practitioner - Clinical Psychologist 6002800141 Reassigns benefits to 3 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Integrity Psychological Services, PLLCGroup PAC ID 8224489547, 10 clinicians

Practice addresses (Care Compare)

1110 S Ave
Suite 404
Staten Island, NY 10314-3411

71 Park Ave
Suite 1D
New York, NY 10016-2507
Phone (914) 912-1780

Merit-based Incentive Payment System (MIPS)

Final score
13.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Psychological Services, PLLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Rockland Psychological Services PLLC CurrentSince Aug 31, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

978 Route 45
Ste 104
Pomona, NY 10970
Phone (347) 897-5150

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1710902895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 38TH ST",
            "address_2": "#6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162637",
            "telephone_number": "914-912-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 38TH ST",
            "address_2": "#6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162637",
            "telephone_number": "914-912-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRENSKI",
        "first_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02300558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.