Nikita Mac, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94023791 Issued in CA

Practice address

19981 Soledad Canyon Rd
Santa Clarita, CA 91351-2626

Phone

(880) 770-5222

NPI assigned

Nov 12, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1558963728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 SCHOLARSHIP",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124420",
            "telephone_number": "805-657-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19981 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512626",
            "telephone_number": "880-770-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "NIKITA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94023791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Christina Luque, M.A.
• Luxottica of America Inc (Lenscrafters At Macy's #8934)
• Michelle Catherine Luzi, LCSW
• Lynne a. Steinman, PH.D., a Psychological Corporation
• M.K.C.H Medical Equipment
• Maryterrie Rose Macalalad-Huerta, M.D.
• Samantha Jean Macaluso
• Gwendolyn Macdonald
• Kimberly Machuca
• Genevieve Macias

• Clinical Psychologist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.