Anna Mackay-Brandt, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

019964 Issued in NY

Practice address

100 Park Ave
New York, NY 10017-5516

Phone

(314) 265-9799

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1073348090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 GARTH RD APT 6D",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833848",
            "telephone_number": "314-265-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175516",
            "telephone_number": "314-265-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY-BRANDT",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sashane O Mack, COTA
• Tabethah Mack
• Teri Mack, OTR/L
• Theresa Mack, M.D.,
• Marala Mackarey, AUD
• Alyson Mackay, DPT
• Cynthia J. Mackay, M.D.
• Hailey Mackay
• Jessica Mackay, LMSW
• Blair Andrew Mackenzie, L.C.S.W.

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.