Roxsanna Collins, PHD ED-TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6352000654 Issued in MI

Practice address

2727 2ND Ave Ste 123a
Detroit, MI 48201-2680

Phone

(313) 462-4888

NPI assigned

Aug 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Roxsanna Collins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Era Overflow Neo, Inc.

  • Community Health Clinic/Center
  • Roseville, MI
  • NPI 1518458736

  Psychologist

  NPD Authorized official
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1871645309
  NPD (past)
• Foundations Detroit,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grand Rapids, MI
  • NPI 1275355273
  NPD (past)
• Foundations Detroit,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Royal Oak, MI
  • NPI 1295182707
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1083169130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E GRAND BLVD APT B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074038",
            "telephone_number": "313-971-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE STE 123A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012680",
            "telephone_number": "313-462-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Groesbeck Hwy",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480431562",
            "country_code": "US",
            "telephone_number": "586-914-2160 x770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 E Grand Blvd Apt B",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482074038",
            "country_code": "US",
            "telephone_number": "313-971-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROXSANNA",
        "name_prefix": "Miss",
        "credential": "PHD ED-TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6352000654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXSANNA",
            "last_name": "COLLINS",
            "prefix": "MS.",
            "credential": "PHD ED-TLLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katrina Marie Collins, PA-C
• Kristen L Collins
• Lawrence Collins Jr., LLMSW
• Melissa Collins
• Patrick Anthony Collins, L.L.P., CAAC
• Tenisha Collins
• Terri Collins, LPN
• Tyer Joyce Collins
• Valery Stella Collins, LMSW
• Willie Collins Jr.

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.