Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL MCCOY CPRM
NPI 1700702859
Peer Specialist in Detroit, MI

Q: What is Samuel Mccoy's NPI number?

The NPI number for Samuel Mccoy is 1700702859. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Q: What is Samuel Mccoy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Mccoy was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2026

2011 CLEMENTS ST, DETROIT, MI 48238(313) 962-9446(313) 502-5147 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Samuel Mccoy Cprm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL MCCOY CPRM (NPI 1700702859) is an individual peer specialist in Detroit, Michigan, licensed in Michigan (M200758379939) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1700702859

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameSAMUEL MCCOYCredential: CPRM

Location Address2011 CLEMENTS STDetroit, MI 48238-3484

Mailing Address2011 Clements StDetroit, MI 48238-3484 · (313) 962-9446 · Fax (313) 502-5147

Phone(313) 962-9446

Fax(313) 502-5147

Sole ProprietorNo

Enumeration DateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1700702859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in MI · M200758379939

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2011 CLEMENTS ST, Detroit, MI 48238

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Mccoy's NPI number?

The NPI number for Samuel Mccoy is 1700702859. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Samuel Mccoy located?

Samuel Mccoy practices at 2011 Clements St, Detroit, MI 48238. The listed phone number is (313) 962-9446.

What is Samuel Mccoy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Samuel Mccoy was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.