Provider Demographics
NPI:1639812506
Name:ROBIN, DIVYA RACHEL (LMHC)
Entity type:Individual
Prefix:
First Name:DIVYA
Middle Name:RACHEL
Last Name:ROBIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 ADAMS ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8408
Mailing Address - Country:US
Mailing Address - Phone:630-346-2761
Mailing Address - Fax:
Practice Address - Street 1:7 W 36TH ST FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7151
Practice Address - Country:US
Practice Address - Phone:212-303-9792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health