Provider Demographics
NPI:1679052740
Name:HERBST, ROBIN S (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:S
Last Name:HERBST
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:S
Other - Last Name:HERBST-PAPARNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:570 GRAND ST APT H1805
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2771
Mailing Address - Country:US
Mailing Address - Phone:646-481-2011
Mailing Address - Fax:
Practice Address - Street 1:570 GRAND ST APT H1805
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2771
Practice Address - Country:US
Practice Address - Phone:646-481-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022757103TP2701X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent