Madeline Eileen Mackenzie, NCSP, ILLINOIS PEL

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

68219 Issued in IL

Practice address

2701 Central Rd
Glenview, IL 60025-4134

Phone

(847) 657-2111

NPI assigned

Apr 9, 2025

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 16, 2025.

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1609661925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W HUBBARD STREET",
            "address_2": "APT 3511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "630-640-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CENTRAL RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254134",
            "telephone_number": "847-657-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "MADELINE",
        "middle_name": "EILEEN",
        "credential": "NCSP, ILLINOIS PEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2558541",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "68219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lynch, DT
• Mary Lynch
• M.Y Chiro & Rehab Center Inc
• Sylvia Mabe, CTRS
• Taylor S Mack
• Angela Mackowiak, PT, DPT
• Marian S. Macsai, MD
• Patrick Maddigan
• Carolyn Maddock, OTR/L
• Hendessa Amedo Madrio

• All providers in Glenview, IL
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.