Active NPI
Robert Detrinis, M.D.
- Psychiatry Physician
- Daphne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.44998
- Practice address
- 7400 Roper LN
Daphne, AL 36526-5274 - Phone
- (251) 450-2211
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LA9582R | LA | |
| Psychiatry Physician | 2084P0800X | MD.44998 | AL | Primary |
Addresses
Primary practice location
7400 Roper LN
Daphne, AL 36526-5274
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-5916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962520 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44998 | AL | MD | Psychiatry Physician |
| LA9582R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| South Central la Human Services Authority | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| South Central la Human Services Authority | Current | Accepting new patients | |
| Altapointe Health Systems, Inc. | Current | Accepting new patients | |
| Altapointe Health Systems Inc | Past | Accepting new patients | |
| Tulane School Department of Psychiatry | Past | Accepting new patients |
Locations
7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500
5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901
2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660
158 Regal Row
Houma, LA 70360
Phone (985) 876-8889
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#22
New Orleans, LA 70112
1440 Canal St
#53
New Orleans, LA 70112
Phone (504) 988-2201
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJJCA
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houma, LA
- NPI 1104250265
-
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1003707332
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgan City, LA
- NPI 1124452289
-
- Psychiatric Hospital
- Daphne, AL
- NPI 1093010936
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1063689966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1891734455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750A SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933316",
"telephone_number": "251-450-5916",
"fax_number": "251-662-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 ROPER LN",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265274",
"telephone_number": "251-450-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETRINIS",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "LA9582R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "MD.44998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962520",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.