McCoy-Provider Psychology LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MCCOY-PROVIDER PSYCHOLOGY LLC

Practice address

132 Demanade Blvd
Lafayette, LA 70503-2508

Phone

(337) 962-1735

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Kristoffer McCoy, MD

Title

Manager

Phone

(337) 962-1735

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1447810338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DEMANADE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032508",
            "telephone_number": "337-962-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DEMANADE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032508",
            "telephone_number": "337-962-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY-PROVIDER PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KRISTOFFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-962-1735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Renae McCollums, B.S
• Caroline Waguespack-Labiche McConnell, LOTR
• Hiram A. McConnell, DDS
• Raquel Antoinette McCorvey, FNP
• McCoy Psychiatry LLC
• Joslyn Mason McCoy, PH.D., BCBA-D
• Kristoffer Gerard McCoy, MD
• Lauren L McCraine, LOTR
• Monique Loviel McCray
• Benjamin John McCulloch, PHARMD

• Psychologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.