Active NPI
Donald Martin McCoy, PH.D.
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1568545416
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 18, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2172
- Practice address
- 1120 Glendale LN
Nashville, TN 37204-4113 - Phone
- (615) 907-1833
- Fax
- (615) 907-7365
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 2172 | TN | |
| Clinical Psychologist | 103TC0700X | 2172 | TN | Primary |
Addresses
Primary practice location
1120 Glendale LN
Nashville, TN 37204-4113
Mailing address
3019 Dunmire Dr
Murfreesboro, TN 37129-2945
Phone (615) 907-1833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3981230 | Medicaid | TN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2172 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1568545416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 DUNMIRE DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292945",
"telephone_number": "615-907-1833",
"fax_number": "615-907-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 GLENDALE LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044113",
"telephone_number": "615-907-1833",
"fax_number": "615-907-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "DONALD",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TN",
"license": "2172",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3981230",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.