Individual provider Active NPI

Floyd L Covey Sr., PH.D

  • Psychologist
  • Collierville, TN
National Provider Identifier
1134142011
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P1552 Issued in TN
Practice address
328 Poplar View Lane East
Suite 1
Collierville, TN 38017
Phone
(901) 854-9030
Fax
(901) 853-6020
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P1552 TN Primary

Addresses

Primary practice location

328 Poplar View Lane East
Suite 1
Collierville, TN 38017

Mailing address

P.O. Box 69
Collierville, TN 38027-0069
Phone (901) 854-9030

Other identifiers 1

IdentifierTypeStateIssuer
3685404MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000227 TN Practitioner - Clinical Psychologist 9335313998 Practice locations: Collierville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

328 Poplar View LN E
Suite 1
Collierville, TN 38017-3174
Phone (901) 854-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1552TNMDPsychologist
1552TNMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1134142011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380270069",
            "telephone_number": "901-854-9030",
            "fax_number": "901-853-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 POPLAR VIEW LANE EAST",
            "address_2": "SUITE 1",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-854-9030",
            "fax_number": "901-853-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEY",
        "first_name": "FLOYD",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3685404",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.