Pathways Psychological Services, PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

957 Issued in KS

Legal business name

PATHWAYS PSYCHOLOGICAL SERVICES, PA

Practice address

100 S Main St
Suite 205
El Dorado, KS 67042-3402

Phone

(316) 322-9500

Fax

(316) 322-9500

NPI assigned

Mar 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcia L. McCoy, PH.D.NPI 1093802019

Title

Owner

Phone

(316) 322-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia Lynn McCoy, PH.D.

  • Psychologist
  • El Dorado, KS
  • NPI 1093802019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912021874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670420606",
            "telephone_number": "316-322-9500",
            "fax_number": "316-322-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423402",
            "telephone_number": "316-322-9500",
            "fax_number": "316-322-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PSYCHOLOGICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-322-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "4716",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinwe A Okonkwo, DO
• Ndubueze Fidelis Okonkwo, MD
• Phillip Stanley Olsen, M.D.
• Pain at Fho LLC (Pain @ Fho LLC)
• Krista Deann Palmer, T-LMLP
• Maddison Payne
• Jerlyn Dee Peak, L.A.T, A.T.C.
• Jennifer Jean Peloquin
• Phillip S. Olsen, M.D., P.a.
• Jess Shirley Plummer, D.D.S.

• Psychologist in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Psychologist in Kansas

• 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.