Len D McCoy, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002727 Issued in WA

Practice address

1260 SE Bishop Blvd
Suite B
Pullman, WA 99163-5451

Phone

(509) 338-9100

Fax

(509) 338-0905

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1336201029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SE BISHOP BLVD",
            "address_2": "SUITE B",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635451",
            "telephone_number": "509-338-9100",
            "fax_number": "509-338-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SE BISHOP BLVD",
            "address_2": "SUITE B",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635451",
            "telephone_number": "509-338-9100",
            "fax_number": "509-338-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LEN",
        "middle_name": "D",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002727",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Mattoon, RPH
• Dakota Mauzay, PY
• Adrienne R Maxwell, RDN
• MC-Pull LLC
• Ash Faolan McConn
• Keira Reid McDonnell
• Travis R McGoff, L.M.P
• Marianne T McGreevy
• John S. McInturff, DDS
• Deaneal Paul McKnight, MS

• Clinical Psychologist in Pullman, WA
• Providers in Pullman, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.