Individual provider Active NPI

Irene E. McCoy, M.S. CCC SP

  • Speech-Language Pathologist
  • Garden City, NY
National Provider Identifier
1558616235
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00003753 Issued in NY
Practice address
56 Cathedral Ave
Pupil Personnel Services
Garden City, NY 11530-2819
Phone
(516) 478-1050
Fax
(516) 294-5009
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00003753 NY Primary

Addresses

Primary practice location

56 Cathedral Ave
Pupil Personnel Services
Garden City, NY 11530-2819

Mailing address

56 Cathedral Ave
Pupil Personnel Services
Garden City, NY 11530-2819
Phone (516) 478-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00003753NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Public Schools Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1558616235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CATHEDRAL AVE",
            "address_2": "PUPIL PERSONNEL SERVICES",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302819",
            "telephone_number": "516-478-1050",
            "fax_number": "516-294-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CATHEDRAL AVE",
            "address_2": "PUPIL PERSONNEL SERVICES",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302819",
            "telephone_number": "516-478-1050",
            "fax_number": "516-294-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "IRENE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "00003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.