M Koy Roberts, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

31232 Issued in TX

Practice address

413 W Bethel Rd Ste 202
Coppell, TX 75019-4475

Phone

(972) 922-9624

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1073663381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W BETHEL RD STE 202",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194475",
            "telephone_number": "972-922-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W BETHEL RD STE 202",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194475",
            "telephone_number": "972-922-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "M",
        "middle_name": "KOY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "31232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drkoyroberts.com",
            "affiliation": "N",
            "address_1": "413 W Bethel Rd Ste 202",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750194475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sallyn Roberts
• Brooks Mackenzy Robertson, DC
• Durrel D Rodgers
• Evelyn Rodriguez
• Jana Elisabeth Rogers, FNP-C

• Counseling Psychologist in Coppell, TX
• Providers in Coppell, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.