Individual provider Active NPI

Marca McCallie, PHD, PSY

  • Professional Counselor
  • Flagstaff, AZ
National Provider Identifier
1104303544
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PSY-005968 Issued in AZ
Practice address
16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777
Phone
(928) 606-2907
Fax
(928) 864-5024
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005968 AZ
Professional Counselor 101YP2500X PSY-005968 AZ Primary

Addresses

Primary practice location

16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777

Mailing address

16 E Route 66 Ste 203
Flagstaff, AZ 86001-5777
Phone (928) 606-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-005968AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flagtown Therapy, LLC Psychologist CurrentSince Aug 11, 2024 Accepting new patients
Cultivate Counseling PLLC PastSince Jan 10, 2020 Accepting new patients

Locations

16 E Route 66
Ste 203
Flagstaff, AZ 86001
Phone (928) 606-2907

Organizations & group practices 2

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1104303544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E ROUTE 66 STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015777",
            "telephone_number": "928-606-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E ROUTE 66 STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015777",
            "telephone_number": "928-606-2907",
            "fax_number": "928-864-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLIE",
        "first_name": "MARCA",
        "credential": "PHD, PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "005968",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "PSY-005968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.