=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881754935
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANDREW L. ROBINS PH.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 08/25/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 244 WESTCHESTER AVE SUITE 200
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-358-5632
-----------------------------------------------------
Fax | 914-358-5630
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 244 WESTCHESTER AVE SUITE 200
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-358-5632
-----------------------------------------------------
Fax | 914-358-5630
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 14441
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------