McCoy Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

026078 Issued in LA

Legal business name

MCCOY PSYCHIATRY LLC

Practice address

800 Kaliste Saloom Rd
Lafayette, LA 70508-4210

Phone

(337) 233-2400

Fax

(337) 232-3656

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Kristoffer Gerard McCoy, MDNPI 1427086123

Title

President/Owner

Phone

(337) 233-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Kristoffer Gerard McCoy, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1427086123
  Medicare reassignment NPD Authorized official
• Andrea Montgomery, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1548394737
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659474450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084210",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084210",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KRISTOFFER",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "337-233-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "026078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie McCollum, NP
• Alisa Renae McCollums, B.S
• Caroline Waguespack-Labiche McConnell, LOTR
• Hiram A. McConnell, DDS
• Raquel Antoinette McCorvey, FNP
• McCoy-Provider Psychology LLC
• Joslyn Mason McCoy, PH.D., BCBA-D
• Kristoffer Gerard McCoy, MD
• Lauren L McCraine, LOTR
• Monique Loviel McCray

• Psychiatry Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatry Physician in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.