Diana Lynn McCoy, PHD

Key facts

NPI

1497910293

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

D0000000587 (TN)

Practice address

5019 Jacksboro Pike
Knoxville, TN 37918

Phone

(865) 687-0340

Fax

(865) 689-1611

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Philosophy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2008.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1497910293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 JACKSBORO PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-687-0340",
            "fax_number": "865-689-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 JACKSBORO PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-687-0340",
            "fax_number": "865-689-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "D0000000587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

• Judith Elaine McCoy-Salyer, CPHT
• Angela Shepherd McCoy, PA-C, ATC
• Barbara McCoy, RDH
• Carrie R McCoy, NP
• Cody G McCoy, DO
• Dustin McCoy, PA
• James D McCoy, APRN, BC
• James M. McCoy, D.D.S.
• Jennifer Michelle McCoy
• Kara McCoy, PT, DPT

All providers in Knoxville, TN · Clinical Psychologist in Tennessee