Active NPI
Kelsey Marie Mackenzie, PSYD
- Psychologist
- Sacramento, CA
National Provider Identifier
1255985073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36592
- Practice address
- 2031 Howe Ave Ste 200
Sacramento, CA 95825-0178 - Phone
- (916) 561-4165
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36592 | CA | Primary |
Addresses
Primary practice location
2031 Howe Ave Ste 200
Sacramento, CA 95825-0178
Mailing address
2031 Howe Ave Ste 200
Sacramento, CA 95825-0178
Phone (916) 561-4165
Other names 1
- Kelsey Marie Mackenzie-Bell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5820 Owens Dr
BLDG E2Nd
Pleasanton, CA 94588-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1255985073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 HOWE AVE STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250178",
"telephone_number": "916-561-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 HOWE AVE STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250178",
"telephone_number": "916-561-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKENZIE",
"first_name": "KELSEY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "36592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "MACKENZIE-BELL",
"middle_name": "MARIE",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.