Individual provider Active NPI

Michael R Robbins, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1790906436
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13660 Issued in CT
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(833) 351-8255
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000012613 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13660 CT Primary

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

1000 Lafayette Blvd Ofc 1146
Bridgeport, CT 06604-4725
Phone (917) 634-5311

Other practice location 1

1000 Lafayette Blvd Ofc 1146
Bridgeport, CT 06604-4725
Phone (917) 634-5311

Other practice location 2

10 W Broadway Fl 7
Salt Lake City, UT 84101-2060
Phone (833) 351-8255

Other identifiers 2

IdentifierTypeStateIssuer
3441136MedicaidTN
2593536MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CT, NY, UT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070727000171 TN Practitioner - Nurse Practitioner 6002917556 Reassigns benefits to 4 organizations
I20241031003376 CT Practitioner - Nurse Practitioner 6002917556 Reassigns benefits to 2 organizations
I20260216000263 NY Practitioner - Nurse Practitioner 6002917556 Reassigns benefits to 1 organization
I20260312001613 UT Practitioner - Nurse Practitioner 6002917556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

10 W Broadway
FL 7
Salt Lake City, UT 84101-2060
Phone (833) 351-8255

1000 Lafayette Blvd
Bridgeport, CT 06604-4725
Phone (833) 351-8255

315 Deaderick St
Suite 1550
Nashville, TN 37238-3003
Phone (833) 351-8255

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000012613TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Dec 28, 2025 Accepting new patients
Faraday Chattanooga PC CurrentSince Oct 1, 2020 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
Volunteer Behavioral Health Care System CurrentSince Dec 1, 2020 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Mar 24, 2025 Accepting new patients
Cleveland Psychiatric Center, PC CurrentSince Oct 1, 2015 Accepting new patients
Advanced Telepsych PLLC CurrentSince Oct 21, 2024 Accepting new patients
Esd Psychological Services Past Accepting new patients
Healthforce Corporation Past Accepting new patients
Robert Stetson, MD, PLLC PastSince Oct 1, 2007 Accepting new patients
Wayne E. Tasker and Associates, Inc. Past Accepting new patients
Northeast Neuropsychology, LLC PastSince Sep 1, 2008 Accepting new patients

Locations

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

6031 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 648-4181

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

1020 Runyan Dr
Chattanooga, TN 37405
Phone (423) 309-7567

2650 Executive Park NW
Ste 3
Cleveland, TN 37312
Phone (423) 473-2633

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1723 Mount Vernon Dr NW
Cleveland, TN 37311
Phone (423) 473-2633

315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

10 W Broadway
Fl 7
Salt Lake City, UT 84101
Phone (801) 228-7825

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 12

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1790906436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD OFC 1146",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "917-634-5311",
            "fax_number": "318-812-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lafayette Blvd Ofc 1146",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066044725",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "318-812-7347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Broadway Fl 7",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012060",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000012613",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3441136",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.