Active NPI
Trevor Mackin, PSY.D.
- Forensic Psychologist
- Napa, CA
National Provider Identifier
1396125407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY26551
- Practice address
- 2100 Napa Vallejo Hwy
Napa, CA 94558-6234 - Phone
- (707) 253-5660
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY26551 | CA | Primary |
Addresses
Primary practice location
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Mailing address
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (707) 253-5660
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26551 | CA | MD | Forensic Psychologist |
| 26551 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1396125407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-253-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-253-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIN",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY26551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.