Organization Active NPI

Robin McCoy Ms

  • Psychologist
  • Southfield, MI
National Provider Identifier
1861945123
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROBIN MCCOY MS
Practice address
25595 Mulroy Dr
Southfield, MI 48033-2510
Phone
(602) 791-1684
Fax
(248) 715-5903
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Robin Elaine McCoy, PH.D., LLPNPI 1699130195
Title
Owner
Phone
(602) 791-1684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

25595 Mulroy Dr
Southfield, MI 48033-2510

Mailing address

25595 Mulroy Dr
Southfield, MI 48033-2510
Phone (602) 791-1684

Other practice location 1

17515 W 9 Mile Rd Ste 240
Southfield, MI 48075-4423
Phone (602) 791-1684

Other identifiers 1

IdentifierTypeStateIssuer
1699130195MedicaidMI

Other names 1

  • Life Centers Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robinmccoy@lifecentersmi.org Direct
Direct Messaging Address robinmccoy@lfiecentersmi.org Direct

National Provider Directory

National Provider Directory

Locations

16000 W 9 Mile Rd
Ste 200
Southfield, MI 48075
Phone (248) 579-2188

17515 W 9 Mile Rd
Ste 240
Southfield, MI 48075
Phone (248) 579-2188

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1861945123",
    "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": "25595 MULROY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332510",
            "telephone_number": "602-791-1684",
            "fax_number": "248-715-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17515 W 9 Mile Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754423",
            "country_code": "US",
            "telephone_number": "602-791-1684",
            "fax_number": "288-715-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBIN MCCOY MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-791-1684",
        "authorized_official_credential": "PH.D., LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699130195",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robinmccoy@lifecentersmi.org",
            "affiliation": "N",
            "endpointDescription": "practice location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17515 W 9 Mile Rd Ste 240",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480754423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robinmccoy@lfiecentersmi.org",
            "affiliation": "N",
            "endpointDescription": "secondary",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25595 Mulroy Dr",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480332510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.