Active NPI
Elizabeth Ann Robbins, PH.D.
- Clinical Psychologist
- Birmingham, MI
National Provider Identifier
1124245360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301010919
- Practice address
- 999 Haynes
Suite 300
Birmingham, MI 48009 - Phone
- (248) 770-3536
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301010919 | MI | Primary |
Addresses
Primary practice location
999 Haynes
Suite 300
Birmingham, MI 48009
Mailing address
2641 Indian Mound South
Bloomfield Hills, MI 48301
Phone (248) 647-2837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68OF333190 | Other | MI | BLUE CROSS PROVIDER ID |
| 11287042 | Other | CAQH REGISTRATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010919 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124245360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 INDIAN MOUND SOUTH",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48301",
"telephone_number": "248-647-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 HAYNES",
"address_2": "SUITE 300",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "48009",
"telephone_number": "248-770-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301010919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "68OF333190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH REGISTRATION NUMBER",
"identifier": "11287042",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.