DR. KENNETH D MCCOY PHD HSPP NPI 1144399353

NPI Information

NPI: 1144399353
Provider Name: DR. KENNETH D MCCOY, PHD, HSPP
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
321 S MAIN ST
NEW CASTLE, IN
ZIP 47362
Phone: (765) 529-3370
Get Directions

DR. Kenneth D Mccoy, PHD, HSPP is a clinical neuropsychologist in New Castle, IN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kenneth D Mccoy, PHD, HSPP NPI is 1144399353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 S MAIN ST
NEW CASTLE, IN
ZIP 47362-218
Phone: (765) 529-3370
Fax: (765) 529-7269

The NPI 1144399353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		20040951A	INDIANA	Yes
2	103TA0700X	Psychologist	Adult Development & Aging	20040951A	INDIANA	X
3	103TB0200X	Psychologist	Cognitive & Behavioral	20040951A	INDIANA	X
4	103TC1900X	Psychologist	Counseling	20040951A	INDIANA	X
5	103TF0000X	Psychologist	Family	20040951A	INDIANA	X
6	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	20040951A	INDIANA	X
7	103T00000X	Psychologist		20040951A	INDIANA	X
8	103TP2701X	Psychologist	Group Psychotherapy	20040951A	INDIANA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11639000	OTHER	INDIANA	MAGELLAN PROVIDER NO
2	11385019	OTHER	INDIANA	CAQH PROVIDER NO
3	1297474	OTHER	INDIANA	UNITED PROVIDER NO
4	000000180198	OTHER	INDIANA	BCBS PROVIDER NO
5	251319	OTHER	INDIANA	VALUE OPTIONS PROVIDER NO
6	164130A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	PROVIDER NO
7	S041714	MEDICARE UPIN	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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