Timothy Robert McKay, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

152 Deming St
South Windsor, CT 06074-3740

Phone

(860) 713-1184

Fax

(860) 200-2863

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• McKay Family Therapy, LLC

  • Marriage & Family Therapist
  • South Windsor, CT
  • NPI 1437782927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1124675293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-713-1184",
            "fax_number": "860-200-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-713-1184",
            "fax_number": "860-200-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Southwood Ln",
            "address_purpose": "LOCATION",
            "city": "East Granby",
            "state": "CT",
            "postal_code": "060269410",
            "country_code": "US",
            "telephone_number": "860-713-1184",
            "fax_number": "860-200-2863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14611280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ID",
            "identifier": "1324623",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "84-3402714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Martin, APRN
• Michael Martin, MD
• Brandon Kyle Martinez, PHARMD
• Scott Matson, MD
• McKay Family Therapy, LLC
• Kim Elaine McKeon, LCSW
• Marcus Michael McKinney, D.MIN., LPC
• Noved McLean, M.S CCC SLP
• Lauren McMaster, CCC-SLP
• Kate McNeill

• Marriage & Family Therapist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.