Active NPI
Mary Ellen Coy, M.D.
- Psychiatry Physician
- Flagstaff, AZ
National Provider Identifier
1629122510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36101
- Practice address
- 405 N Beaver St
Ste. 3
Flagstaff, AZ 86001-4500 - Phone
- (928) 226-7692
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36101 | AZ | Primary |
Addresses
Primary practice location
405 N Beaver St
Ste. 3
Flagstaff, AZ 86001-4500
Mailing address
8545 W Mountain Shadows Dr
Flagstaff, AZ 86001-8186
Phone (928) 226-7692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629122510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8545 W MOUNTAIN SHADOWS DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860018186",
"telephone_number": "928-226-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N BEAVER ST",
"address_2": "STE. 3",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014500",
"telephone_number": "928-226-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COY",
"first_name": "MARY",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "36101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.