Robin Elaine McCoy, PHD., LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016485 Issued in MI

Practice address

17515 W 9 Mile Rd Ste 240
Southfield, MI 48075-4423

Phone

(248) 579-2188

Fax

(248) 715-5903

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Life Centers, Inc

  • Counseling Psychologist
  • Southfield, MI
  • NPI 1003392796

  Clinical

  NPD Authorized official
• Robin McCoy Ms

  • Psychologist
  • Southfield, MI
  • NPI 1861945123
  NPD Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1699130195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25595 MULROY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332510",
            "telephone_number": "602-791-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754423",
            "telephone_number": "248-579-2188",
            "fax_number": "248-715-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25595 Mulroy Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332510",
            "country_code": "US",
            "telephone_number": "602-791-1684",
            "fax_number": "248-715-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ROBIN",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "PHD., LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016485",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6361007845",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007845",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699130195.",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENUMERATION DATE:",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Marie McCormack
• Francis McCorry
• Candice A. McCoy
• Desirae McCoy
• Jenny McCoy
• Miles McCracken-Patton
• Eric Quinard McCrary Jr.
• April McCullum
• Rosalind D McCullum, MA,LLPC
• Thomas McCune III, MD

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.