Individual provider Active NPI

Brian Robin Macobin, PSY.D.

  • Clinical Psychologist
  • New Orleans, LA
National Provider Identifier
1710253695
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1742 Issued in AL
Practice address
7731 Panola St
New Orleans, LA 70118-4240
Phone
(502) 500-5054
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1742 AL Primary

Addresses

Primary practice location

7731 Panola St
New Orleans, LA 70118-4240

Mailing address

7731 Panola St
New Orleans, LA 70118-4240
Phone (502) 500-5054

Other names 1

  • Brian Michael Robin Former name

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

State licenses

LicenseStateTypeSpecialty
1742ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1710253695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 PANOLA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184240",
            "telephone_number": "502-500-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 PANOLA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184240",
            "telephone_number": "502-500-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOBIN",
        "first_name": "BRIAN",
        "middle_name": "ROBIN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "ROBIN",
            "middle_name": "MICHAEL",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.