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DR. GARY KOCH PH.D.
NPI 1861845208
Psychologist - Clinical Child & Adolescent in Beaver, PA

Active since July 21, 2016PECOS Enrolled
500 MARKET ST STE 204B, BEAVER, PA 15009(724) 728-6670(724) 728-5570 Get Directions Write a Review

NPPES record last updated: July 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gary Koch Ph.d. NPPES

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

DR. GARY KOCH PH.D. (NPI 1861845208) is an individual clinical child & adolescent provider in Beaver, Pennsylvania, licensed in Pennsylvania (PS018065) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coraopolis, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861845208
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. GARY KOCHCredential: PH.D.
Location Address500 MARKET ST STE 204BBeaver, PA 15009
Mailing Address500 Market St Ste 204bBeaver, PA 15009-2998 · (724) 728-6670 · Fax (724) 728-5570
Phone(724) 728-6670
Fax(724) 728-5570
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 21, 2016
Last NPPES UpdateJuly 21, 2018
✔ NPI 1861845208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in PA · PS018065
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License PS018065 (PA)
500 MARKET ST STE 204B, Beaver, PA 15009
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Secondary Practice Location 1

Location 1101 Serendipity DrCoraopolis, PA 15108-1153 · Phone (412) 980-6532

Other Identifiers 1

Medicaid1032369400002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Koch Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234616202
PECOS Enrollment IDI20260121002526
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gary Koch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychology & Learning Center Inc
3.8 mi
Clinic/Center
3428 BRODHEAD RD
Monaca, PA 15061
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1710771670 (724) 728-6670
Psychology And Learning Center - Butler PC
24 mi
Psychologist
1615 N MAIN STREET EXT
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1932068558 (724) 728-6670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN WRIGHT LCSW
Social Worker (Clinical)
500 MARKET ST STE 204B
BEAVER, PA 15009
Beaver County (724) 728-6670
DR. GINA MARIE GORDON PH.D, LPC, NCC
Counselor (Professional)
500 MARKET ST STE 204B
BEAVER, PA 15009
Beaver County (724) 728-6670
MR. RICH COLLINS NBCC, LPC
Counselor (Professional)
500 MARKET ST STE 204B
BEAVER, PA 15009
Beaver County (724) 728-6670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Koch's NPI number?

The NPI number for Gary Koch is 1861845208. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Gary Koch located?

Gary Koch practices at 500 Market St Ste 204B, Beaver, PA 15009. The listed phone number is (724) 728-6670.

What is Gary Koch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Gary Koch enrolled in Medicare?

Yes. Gary Koch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Koch reassigns Medicare benefits to 2 organizations: Psychology & Learning Center Inc (Monaca, PA) and Psychology And Learning Center - Butler PC (Butler, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Koch was last updated on July 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.