Tiffany Jacqueline McKenzie, MA, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2424 Issued in NC

Practice address

8390 Six Forks Rd
Suite #201
Raleigh, NC 27615-3060

Phone

(919) 782-8730

Fax

(919) 782-8731

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1467519082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 WATERTON LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029003",
            "telephone_number": "919-303-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 SIX FORKS RD",
            "address_2": "SUITE #201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153060",
            "telephone_number": "919-782-8730",
            "fax_number": "919-782-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "TIFFANY",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Harris McKenzie, NCMHCA, NCC
• Libbie Parker McKenzie, MD
• Lisette McKenzie
• Sheppard A. McKenzie IV, D.D.S.
• Sheppard Allen McKenzie III, MD
• Ashley McKinley, M.A., CCC-SLP
• Halimah Marie Elizabeth McKinney
• Jack Basden McKinney, PHD
• Joshua Daniel McKinney
• Madeline McKinney

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.