Provider Demographics
NPI:1023158391
Name:ROBINSON, ELFE K (PH D)
Entity type:Individual
Prefix:
First Name:ELFE
Middle Name:K
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1053
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:NY
Mailing Address - Zip Code:12498-8053
Mailing Address - Country:US
Mailing Address - Phone:917-750-9062
Mailing Address - Fax:
Practice Address - Street 1:29 HIGH ROCKS ROAD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-8053
Practice Address - Country:US
Practice Address - Phone:917-750-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014395-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2385887OtherOXFORD HEALTH PLANS
NY04909Medicaid
NY02206504Medicaid
NYP2385887OtherOXFORD HEALTH PLANS