DR. ROBERT MICHAEL IBRAHAM PHD CASAC-M NPI 1932683323

NPI Information

  • NPI: 1932683323
  • Provider Name: DR. ROBERT MICHAEL IBRAHAM, PHD, CASAC-M
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 2075 NEW YORK AVE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 351-7112

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NPI Details

DR. Robert Michael Ibraham, PHD, CASAC-M is a clinical psychologist in Huntington Station, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Robert Michael Ibraham, PHD, CASAC-M NPI is 1932683323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2075 NEW YORK AVE
HUNTINGTON STATION, NY
ZIP 11746-238
Phone: (631) 351-7112
Fax: (631) 351-0862

The enumeration date for this NPI number is 9/20/2018 and was last updated on 6/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)34794NEW YORKNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)P128122NEW YORKNo
3103TP2701XPsychologistGroup PsychotherapyP128122NEW YORKNo
4103TC0700XPsychologistClinicalP128122NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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