Yvette M. McCoy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05168 Issued in MD

Practice address

25480 Point Lookout Rd Ste 103
Leonardtown, MD 20650-3801

Phone

(301) 672-2148

Fax

(301) 302-0129

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Yvette M. Johnson Former name

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Speak Well Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Leonardtown, MD
  • NPI 1356636815

  MD

  Medicare reassignment NPD Authorized official
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA, Speech-Language Pathologist

  Medicare reassignment NPD
• Sense-Ability, LLC

  • Occupational Therapist
  • Leonardtown, MD
  • NPI 1225399801
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1487794061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25480 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-769-6456",
            "fax_number": "301-302-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25480 POINT LOOKOUT RD STE 103",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-672-2148",
            "fax_number": "301-302-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "YVETTE",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "JOHNSON",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryland CVS Pharmacy, L.L.C.
• Jennifer Mattei, P.T.
• Debra Matthews, RPH
• Leigh McCarthy, A.UD.
• Michelle McCloskey, OT/L
• John M McCraney, MD
• Michelle McDonald, PHD
• Rosemary Lee Ratliff McDonald
• Danielle McGinty, ADT
• Claudia Jean McGuire

• All providers in Leonardtown, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.