Provider Demographics
NPI:1356000681
Name:ROBIN ABRAMS, PHD, LLC
Entity Type:Organization
Organization Name:ROBIN ABRAMS, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:FAIGELES
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-261-0068
Mailing Address - Street 1:360 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-6714
Mailing Address - Country:US
Mailing Address - Phone:781-261-0068
Mailing Address - Fax:781-609-7973
Practice Address - Street 1:545 CONCORD AVE STE 214
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1125
Practice Address - Country:US
Practice Address - Phone:781-261-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty