DR. GARY KOCH PH.D. NPI 1861845208

NPI Information

  • NPI: 1861845208
  • Provider Name: DR. GARY KOCH, PH.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 500 MARKET ST STE 204B
    BEAVER, PA
    ZIP 15009
  • Phone: (724) 728-6670

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NPI Details

DR. Gary Koch, PH.D. is a clinical child and adolescent psychologist in Beaver, PA. The provider is 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. DR. Gary Koch, PH.D. NPI is 1861845208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 MARKET ST STE 204B
BEAVER, PA
ZIP 15009
Phone: (724) 728-6670
Fax: (724) 728-5570

The enumeration date for this NPI number is 7/21/2016 and was last updated on 7/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TS0200XPsychologistSchoolPS018065PENNSYLVANIANo
2103TC2200XPsychologistClinical Child & AdolescentPS018065PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11032369400002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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