Active NPI
Kristoffer Gerard McCoy, MD
- Psychiatry Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 026078
- Practice address
- 800 Kaliste Saloom Rd
Lafayette, LA 70508-4210 - Phone
- (337) 233-2400
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 026078 | LA | Primary |
Addresses
Primary practice location
800 Kaliste Saloom Rd
Lafayette, LA 70508-4210
Mailing address
800 Kaliste Saloom Rd
Lafayette, LA 70508-4210
Phone (337) 233-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10516991 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 Kaliste Saloom Rd
Lafayette, LA 70508-4210
Phone (337) 233-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026078 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heaton-McCoy Psychology LLC | Current | Accepting new patients | |
| Mason McCoy Psychology, LLC | Current | Accepting new patients | |
| McCoy Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Oceans Behavioral Hospital of Lafayette LLC | Past | Accepting new patients |
Locations
800 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 233-2400
1310 Heather Dr
Opelousas, LA 70570
Phone (337) 948-8820
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Lafayette, LA
- NPI 1659474450
-
- School Psychologist
- Lafayette, LA
- NPI 1013540061
-
- Clinical Psychologist
- Lafayette, LA
- NPI 1235284936
-
dba Oceans Hospital of Broussard
- Psychiatric Hospital
- Broussard, LA
- NPI 1164518312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1427086123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084210",
"telephone_number": "337-233-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KALISTE SALOOM RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084210",
"telephone_number": "337-233-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "KRISTOFFER",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "026078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10516991",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.