MEDICARE: DR. CHARLES EDWARD ROBINS PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0700X	Adult Development & Aging Psychologist	006741-1	NY
2	101YM0800X	Mental Health Counselor
3	102L00000X	Psychoanalyst	006741-1	NY
4	103T00000X	Psychologist	006741-1	NY
5	103TA0400X	Addiction (Substance Use Disorder) Psychologist	006741-1	NY
6	103TB0200X	Cognitive & Behavioral Psychologist	006741-1	NY
7	103TC0700X	Clinical Psychologist	006741-1	NY
8	103TC1900X	Counseling Psychologist	006741-1	NY
9	103TC2200X	Clinical Child & Adolescent Psychologist	006741-1	NY
10	103TF0000X	Family Psychologist	006741-1	NY
11	103TF0200X	Forensic Psychologist	006741-1	NY
12	103TP0814X	Psychoanalysis Psychologist	006741-1	NY
13	103TP2701X	Group Psychotherapy Psychologist
14	103G00000X	Clinical Neuropsychologist	006741-1	NY
15	103TM1800X	Intellectual & Developmental Disabilities Psychologist	006741-1	NY

General Provider Information

NPI Number	:	1346362951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES EDWARD ROBINS PH.D

Provider Business Mailing Address
First Line	:	33 W 60TH ST STE 600
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-7905
Country	:	US
Telephone Number	:	212-586-3773
Fax Number	:	212-977-1057

Provider Business Practice Location Address
First Line	:	33 W 60TH ST STE 600
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-7905
Country	:	US
Telephone Number	:	212-586-3773
Fax Number	:	212-977-1057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/28/2019

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