Healthcare Provider Details

I. General information

NPI: 1033093885
Provider Name (Legal Business Name): RICKEY E. ROBINSON APRN, CNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 SECOND ST
NEW ALBANY OH
43054
US

IV. Provider business mailing address

39 SECOND ST
NEW ALBANY OH
43054
US

V. Phone/Fax

Practice location:
  • Phone: 614-924-8312
  • Fax: 614-881-7076
Mailing address:
  • Phone: 614-924-8312
  • Fax: 614-881-7076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0039909
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: