Individual provider Active NPI

Robert Earl Koyle, LMFT

  • Marriage & Family Therapist
  • Palm Springs, CA
National Provider Identifier
1326200478
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42990 Issued in CA
Practice address
431 S Palm Canyon Dr Ste 214
Palm Springs, CA 92262-7300
Phone
(760) 534-2859
NPI assigned
Jun 30, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC42990 CA Primary

Addresses

Primary practice location

431 S Palm Canyon Dr Ste 214
Palm Springs, CA 92262-7300

Mailing address

431 S Palm Canyon Dr Ste 214
Palm Springs, CA 92262-7300
Phone (760) 534-2859

Other practice location 1

1110 E Green St
Suite 404
Pasadena, CA 91106-2514
Phone (626) 399-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC42990CAMDMarriage & Family Therapist
42990CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326200478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S PALM CANYON DR STE 214",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627300",
            "telephone_number": "760-534-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S PALM CANYON DR STE 214",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627300",
            "telephone_number": "760-534-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 E Green St",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062514",
            "country_code": "US",
            "telephone_number": "626-399-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOYLE",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.