Provider Demographics
NPI:1447222302
Name:ROBBINS, PAT R (MA MS PHD)
Entity Type:Individual
Prefix:
First Name:PAT
Middle Name:R
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MA MS PHD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:RUTH
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:207 BARKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-8594
Mailing Address - Country:US
Mailing Address - Phone:252-633-6528
Mailing Address - Fax:252-637-1771
Practice Address - Street 1:2800 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-637-7300
Practice Address - Fax:252-637-1771
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC72541OtherBCBS
NC72541OtherSTATE EMPLOYEES OF NC
264080OtherMENTAL HEALTH NETWORK
NY72541OtherBCBS
NC8107176Medicaid
NC1687OtherMEDICARE
NC6003282Medicaid
NY72541OtherBCBS
NC8107176Medicaid