NPIMap

Organization Active NPI

Mackay Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1427723931
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MACKAY BEHAVIORAL HEALTH SERVICES
Practice address
8000 Jumpers Hole Rd Ste 217
Pasadena, MD 21122-1046
Phone
(240) 883-4025
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Dr. Angela Mackay, DNP, APRN, CRNP-PMHNPI 1720655053
Title
President
Phone
(240) 883-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8000 Jumpers Hole Rd Ste 217
Pasadena, MD 21122-1046

Mailing address

8000 Jumpers Hole Rd Ste 217
Pasadena, MD 21122-1046
Phone (240) 883-4025

Other practice location 1

15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Phone (240) 883-4025

Other practice location 2

1775 I St NW Ste 1150
Washington, DC 20006-2435
Phone (240) 883-4025

Other names 1

  • Mackay Behavioral Health Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211115002109 MD Part B Supplier - Clinic/Group Practice 7911396890 Receives reassigned benefits from 3 practitioners
Practice locations: Pasadena, MD
O20230217000894 DC Part B Supplier - Clinic/Group Practice 7911396890 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20231102000220 CA Part B Supplier - Clinic/Group Practice 7911396890 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1427723931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 JUMPERS HOLE RD STE 217",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221046",
            "telephone_number": "240-883-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 JUMPERS HOLE RD STE 217",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221046",
            "telephone_number": "240-883-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15233 Ventura Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032231",
            "country_code": "US",
            "telephone_number": "240-883-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 I St NW Ste 1150",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200062435",
            "country_code": "US",
            "telephone_number": "240-883-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACKAY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-883-4025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mackay Behavioral Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mackay Behavioral Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.