Active NPI
Raymond D McCoy, PSYD, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1962465906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001136
- Practice address
- 712 Hillingdon CT
Virginia Beach, VA 23462-6455 - Phone
- (757) 761-6894
- Fax
- (866) 399-5471
- NPI assigned
- Apr 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001136 | VA | Primary |
Addresses
Primary practice location
712 Hillingdon CT
Virginia Beach, VA 23462-6455
Mailing address
712 Hillingdon CT
Virginia Beach, VA 23462-6455
Phone (757) 761-6894
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008912564 | Medicaid | VA | |
| 249249 | Other | VA | MAMSI |
| 324388 | Other | VA | ANTHEM BLUE CROSS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral & Neuropsychiatric Group, Inc | Clinical | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Virginia Beach, VA
- NPI 1548287253
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1962465906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 HILLINGDON CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626455",
"telephone_number": "757-761-6894",
"fax_number": "866-399-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 HILLINGDON CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626455",
"telephone_number": "757-761-6894",
"fax_number": "866-399-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "RAYMOND",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSYD, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008912564",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "249249",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "324388",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.