Joretta McCoy

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

10964 Issued in AZ

Legal business name

JORETTA MCCOY

Practice address

26855 S Coopers Hawk Rd
Amado, AZ 85645-9571

Phone

(520) 398-3311

NPI assigned

Sep 13, 2006

Organization subpart

No

Name

Mrs. Joretta McCoyNPI 1407911217

Title

Therapeutic Care Provider

Phone

(520) 398-3311

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joretta Joyce McCoy

  • Child Mental Illness Respite Care
  • Amado, AZ
  • NPI 1407911217
  NPD (past) Authorized official RESPITE CARE, MENTAL ILLNESS, CHILD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508961657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26855 S COOPERS HAWK RD",
            "city": "AMADO",
            "state": "AZ",
            "postal_code": "856459571",
            "telephone_number": "520-398-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26855 S COOPERS HAWK RD",
            "city": "AMADO",
            "state": "AZ",
            "postal_code": "856459571",
            "telephone_number": "520-398-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORETTA MCCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JORETTA",
        "authorized_official_title_or_position": "THERAPEUTIC CARE PROVIDER",
        "authorized_official_telephone_number": "520-398-3311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "10964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041438",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Adrienne Canez Diaz, CSFA
• Elephant Head Volunteer Fire Department, Inc.
• Joretta Joyce McCoy
• Sherry A. Mullens, MSW
• United Community Health Center-Maria Auxiliadora, Inc.
• United Community Health Center-Maria Auxiliadora, Inc.
• Lourdes M Williams

• All providers in Amado, AZ
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.