Individual provider Active NPI

Joseph Harvey McCoy III, PH.D.

  • Clinical Psychologist
  • Edinburg, TX
National Provider Identifier
1427080217
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30745 Issued in TX
Practice address
5109 S McColl Rd
Edinburg, TX 78539-7885
Phone
(956) 682-0385
Fax
(956) 682-0388
NPI assigned
Jul 6, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30745 TX 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
86949AOtherTXBLUE CROSS BLUE SHIELD
102826803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041117000167 TX Practitioner - Clinical Psychologist 4880658459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30745TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychological Services PC CurrentSince Jun 29, 2004 Accepting new patients

Locations

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

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1427080217",
    "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": {
        "last_name": "MCCOY",
        "first_name": "JOSEPH",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86949A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102826803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.