Active NPI
Kathy J Macleay Psychologist, Apc
- Clinical Psychologist
- Sylmar, CA
National Provider Identifier
1073152724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200326000661 | CA | Part B Supplier - Clinic/Group Practice | 4688003684 | Practice locations: Sylmar, CA |
National Provider Directory
National Provider DirectoryNPI 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.