MIRANDA MCCOY
NPI 1487722369
Respite Care - Respite Care, Mental Illness, Child in Phoenix, AZ

Active since December 01, 2006
5205 W FULTON ST, PHOENIX, AZ 85043(623) 204-8901 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miranda Mccoy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA MCCOY (NPI 1487722369) is an individual respite care, mental illness, child provider in Phoenix, Arizona, licensed in Arizona (11361) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1487722369
Entity TypeIndividualFemale
Primary Taxonomy385HR2055X
Provider Legal NameMIRANDA MCCOY
Location Address5205 W FULTON STPhoenix, AZ 85043-2000
Mailing Address5205 W. FultonPhoenix, AZ 85043 · (623) 204-8901
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateDecember 14, 2007
NPI 1487722369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
License Licensed in AZ · 11361
Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

5205 W FULTON ST, Phoenix, AZ 85043

Other Identifiers 1

Other115882AZ · Ahcccs Id

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487722369, enumerated as an "individual" on December 01, 2006.

The provider is located at 5205 W FULTON ST PHOENIX, AZ 85043 and the phone number is (623) 204-8901.

Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.