Active NPI
Jennifer Dora McKay, MD
- Psychiatry Physician
- Reno, NV
National Provider Identifier
1225046675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10104
- Practice address
- 745 W Moana LN
Suite 100
Reno, NV 89509-4932 - Phone
- (775) 324-3300
- Fax
- (775) 334-3022
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10104 | NV | Primary |
Addresses
Primary practice location
745 W Moana LN
Suite 100
Reno, NV 89509-4932
Mailing address
745 W Moana LN
Suite 100
Reno, NV 89509-4932
Phone (775) 324-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100508034 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10104 | NV | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Past | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Springs, NV
- NPI 1811079742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225046675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"address_2": "SUITE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895094932",
"telephone_number": "775-324-3300",
"fax_number": "775-334-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"address_2": "SUITE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895094932",
"telephone_number": "775-324-3300",
"fax_number": "775-334-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "JENNIFER",
"middle_name": "DORA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "10104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100508034",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.