Organization Active NPI

Valley Psychological Services PC

  • Group Psychotherapy Psychologist
  • Edinburg, TX
National Provider Identifier
1407888282
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
VALLEY PSYCHOLOGICAL SERVICES PC
Practice address
5109 S McColl Rd
Edinburg, TX 78539-7885
Phone
(956) 682-0385
Fax
(956) 682-0388
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Joseph Harvey McCoy III, PH.D.NPI 1427080217
Title
Owner Licensed Psychologist
Phone
(956) 682-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

5109 S McColl Rd
Edinburg, TX 78539-7885

Mailing address

5109 S McColl Rd
Edinburg, TX 78539-7885
Phone (956) 682-0385

Other identifiers 2

IdentifierTypeStateIssuer
168990301MedicaidTX
0048MDOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041113000063 TX Part B Supplier - Clinic/Group Practice 8527022193 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

5109 S McColl Rd
Edinburg, TX 78539
Phone (956) 453-7086

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1407888282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397885",
            "telephone_number": "956-682-0385",
            "fax_number": "956-682-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397885",
            "telephone_number": "956-682-0385",
            "fax_number": "956-682-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "956-682-0385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168990301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0048MD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.