Healthcare Provider Details

I. General information

NPI: 1497830400
Provider Name (Legal Business Name): HEATHER BRANDT ROBINS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER JILL BRANDT PSY.D.

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 BLOOMINGDALE RD STE 304A
WHITE PLAINS NY
10605-1513
US

IV. Provider business mailing address

222 BLOOMINGDALE RD STE 304A
WHITE PLAINS NY
10605-1513
US

V. Phone/Fax

Practice location:
  • Phone: 914-725-5654
  • Fax:
Mailing address:
  • Phone: 914-725-5654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number015583
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: