Active NPI
Elizabeth Ann Corby, PH.D.
- Clinical Psychologist
- Birmingham, MI
National Provider Identifier
1407034085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301007540
- Practice address
- 280 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-5300 - Phone
- (248) 594-3883
- Fax
- (248) 594-4549
- NPI assigned
- Feb 5, 2008
- 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 | 6301007540 | MI | Primary |
Addresses
Primary practice location
280 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-5300
Mailing address
280 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-5300
Phone (248) 594-3883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O F3 3247 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007540 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Therapy and Recovery Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Royal Oak, MI
- NPI 1407107154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1407034085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N OLD WOODWARD AVE",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480095300",
"telephone_number": "248-594-3883",
"fax_number": "248-594-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N OLD WOODWARD AVE",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480095300",
"telephone_number": "248-594-3883",
"fax_number": "248-594-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "O F3 3247",
"state": "MI"
}
],
"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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.