Organization Active NPI

Koby Empire, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Oak, MI
National Provider Identifier
1700757440
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KOBY EMPIRE, INC
Practice address
4322 Buckingham Rd
Royal Oak, MI 48073-6220
Phone
(208) 422-4536
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Koby Conrad
Title
President
Phone
(313) 751-0022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4322 Buckingham Rd
Royal Oak, MI 48073-6220

Mailing address

4322 Buckingham Rd
Royal Oak, MI 48073-6220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1700757440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 BUCKINGHAM RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 BUCKINGHAM RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736220",
            "telephone_number": "208-422-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBY EMPIRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "KOBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-751-0022"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.