Healthcare Provider Details

I. General information

NPI: 1225941776
Provider Name (Legal Business Name): MCCOY PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25366 DIAGONAL RD
GRUNDY CENTER IA
50638-8581
US

IV. Provider business mailing address

25366 DIAGONAL RD
GRUNDY CENTER IA
50638-8581
US

V. Phone/Fax

Practice location:
  • Phone: 319-321-8435
  • Fax:
Mailing address:
  • Phone: 319-321-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. THOMASIN MCCOY
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 319-321-8435