Organization Active NPI

Kathy J Macleay Psychologist, Apc

  • Clinical Psychologist
  • Sylmar, CA
National Provider Identifier
1073152724
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KATHY J MACLEAY PSYCHOLOGIST, APC
Practice address
13210 Harding St
Sylmar, CA 91342-4844
Phone
(818) 825-3908
NPI assigned
Dec 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan Healy
Title
Biller
Phone
(909) 867-2016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

13210 Harding St
Sylmar, CA 91342-4844

Mailing address

13210 Harding St
Sylmar, CA 91342-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326000661 CA Part B Supplier - Clinic/Group Practice 4688003684 Practice locations: Sylmar, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1073152724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 HARDING ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 HARDING ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424844",
            "telephone_number": "818-825-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY J MACLEAY PSYCHOLOGIST, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "909-867-2016"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.