NPIMap

Organization Active NPI

Ross & Mackenzie LLC

Doing business as Agape Family Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1609271659
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROSS & MACKENZIE LLC
Doing business as
Agape Family Services
Practice address
319 N Litchfield Rd Ste 105
Goodyear, AZ 85338-1256
Phone
(623) 224-1162
NPI assigned
Nov 1, 2014
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Wayne M Mackenzie Sr., PMHNP-BCNPI 1144589086
Title
Ceo
Phone
(623) 224-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Child & Adolescent Psychologist 103TC2200X NU
Marriage & Family Therapist 106H00000X NU
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

319 N Litchfield Rd Ste 105
Goodyear, AZ 85338-1256

Mailing address

319 N Litchfield Rd
Suite 105
Goodyear, AZ 85338-1256

Other identifiers 2

IdentifierTypeStateIssuer
QXIPQ0000098776OtherAZAHCCCS
PDZ-0000000-27067MedicaidAZ

Other names 1

  • Agape Family Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@agapefamily.net Direct

National Provider Directory

National Provider Directory

Locations

319 N Litchfield Rd
Ste 105
Goodyear, AZ 85338
Phone (480) 253-6266

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1609271659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N LITCHFIELD RD",
            "address_2": "SUITE 105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N LITCHFIELD RD STE 105",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381256",
            "telephone_number": "623-224-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS & MACKENZIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-224-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "QXIPQ0000098776",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PDZ-0000000-27067",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@agapefamily.net",
            "affiliation": "N",
            "endpointDescription": "Administrative contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Plain Text format messages only",
            "address_1": "319 N Litchfield Rd",
            "address_2": "suite 105",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853381256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Agape Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.