Individual provider Active NPI

Chelsea Henry Mackey, PSY.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1073716940
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25471 Issued in CA
Practice address
425 University Ave Ste 100
Sacramento, CA 95825-6508
Phone
(916) 562-7048
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25471 CA Primary

Addresses

Primary practice location

425 University Ave Ste 100
Sacramento, CA 95825-6508

Mailing address

425 University Ave Ste 100
Sacramento, CA 95825-6508
Phone (916) 562-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000599 CA Practitioner - Clinical Psychologist 7012158942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vantage Point Center for PsychotherapyGroup PAC ID 0749518140, 13 clinicians

Practice addresses (Care Compare)

1011 22ND St
Sacramento, CA 95816-4907
Phone (916) 284-1416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Counseling Associates - a Psychological Corporation CurrentSince Jun 5, 2013 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 28, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 28, 2015 Accepting new patients
Dr. Trisha D Wallis, Psychologist, Apc Clinical CurrentSince May 17, 2020 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

11344 Coloma Rd
Ste 515
Gold River, CA 95670
Phone (916) 524-6064

11344 Coloma Rd
Ste 435
Gold River, CA 95670
Phone (916) 546-8071

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1011 22nd St
Sacramento, CA 95816
Phone (916) 284-1416

2620 J St
Ste 1
Sacramento, CA 95816
Phone (916) 572-7623

425 University Ave
Ste 100
Sacramento, CA 95825
Phone (916) 284-1416

2008 Morse Ave
Sacramento, CA 95825
Phone (916) 973-7323

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1073716940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256508",
            "telephone_number": "916-562-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256508",
            "telephone_number": "916-562-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "CHELSEA",
        "middle_name": "HENRY",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.