Active NPI
Robert Edwin Compton, M.A.
- Psychologist
- Detroit, MI
National Provider Identifier
1497116164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301009083
- Practice address
- 640 Temple St
8TH Floor
Detroit, MI 48201-2599 - Phone
- (313) 344-9099
- Fax
- (313) 833-2155
- NPI assigned
- Mar 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301009083 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 6301009083 | MI | |
| Counseling Psychologist | 103TC1900X | 6301009083 | MI | |
| Group Psychotherapy Psychologist | 103TP2701X | 6301009083 | MI |
Addresses
Primary practice location
640 Temple St
8TH Floor
Detroit, MI 48201-2599
Mailing address
20789 Camden SQ
# 203
Southfield, MI 48076
Phone (313) 408-7700
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009083 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1497116164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20789 CAMDEN SQ",
"address_2": "# 203",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48076",
"telephone_number": "313-408-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 TEMPLE ST",
"address_2": "8TH FLOOR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012599",
"telephone_number": "313-344-9099",
"fax_number": "313-833-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "ROBERT",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301009083",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009083",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301009083",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MI",
"license": "6301009083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.