Provider Demographics
NPI:1497830400
Name:ROBINS, HEATHER BRANDT (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:BRANDT
Last Name:ROBINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:JILL
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:45 POPHAM RD
Mailing Address - Street 2:SUITE 1J
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4252
Mailing Address - Country:US
Mailing Address - Phone:914-725-5654
Mailing Address - Fax:
Practice Address - Street 1:45 POPHAM RD
Practice Address - Street 2:SUITE 1J
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4252
Practice Address - Country:US
Practice Address - Phone:914-725-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015583103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist