Individual
DR. KENNETH D MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
321 S MAIN ST, NEW CASTLE, IN 47362-4218
(765) 529-3370
(765) 529-7269
Mailing address
321 S MAIN ST, NEW CASTLE, IN 47362-4218
(765) 529-3370
(765) 529-7269
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20040951A
IN
103T00000X
Psychologist
20040951A
IN
103TA0700X
Adult Development & Aging Psychologist
20040951A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20040951A
IN
103TC1900X
Counseling Psychologist
20040951A
IN
103TF0000X
Family Psychologist
20040951A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20040951A
IN
103TP2701X
Group Psychotherapy Psychologist
Primary
20040951A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180198
BCBS PROVIDER NO
IN
01
—
11385019
CAQH PROVIDER NO
IN
01
—
11639000
MAGELLAN PROVIDER NO
IN
01
—
1297474
UNITED PROVIDER NO
IN
01
—
251319
VALUE OPTIONS PROVIDER NO
IN
Enumeration date
11/06/2006
Last updated
09/11/2025
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