Active NPI
Kenneth Grant McCurdy, PH.D.
- Professional Counselor
- Erie, PA
National Provider Identifier
1013102474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003420
- Practice address
- 109 University Square
Psychology Dept., Gannon University
Erie, PA 16541-0001 - Phone
- (814) 871-7791
- Fax
- (814) 871-5511
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E2829 | OH | |
| Mental Health Counselor | 101YM0800X | 3497-1 | NY | |
| Professional Counselor | 101YP2500X | PC003420 | PA | Primary |
Addresses
Primary practice location
109 University Square
Psychology Dept., Gannon University
Erie, PA 16541-0001
Mailing address
109 University Square
Gannon University Psychology Dept.
Erie, PA 16541-0001
Phone (814) 871-7791
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3497-1 | NY | MD | Mental Health Counselor |
| E2829 | OH | MD | Mental Health Counselor |
| PC003420 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1013102474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 UNIVERSITY SQUARE",
"address_2": "GANNON UNIVERSITY PSYCHOLOGY DEPT.",
"city": "ERIE",
"state": "PA",
"postal_code": "165410001",
"telephone_number": "814-871-7791",
"fax_number": "814-871-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 UNIVERSITY SQUARE",
"address_2": "PSYCHOLOGY DEPT., GANNON UNIVERSITY",
"city": "ERIE",
"state": "PA",
"postal_code": "165410001",
"telephone_number": "814-871-7791",
"fax_number": "814-871-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCURDY",
"first_name": "KENNETH",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E2829",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "3497-1",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.