Julie Anne McKay, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5959 Issued in MN

Practice address

4601 Excelsior Blvd Ste 340
St Louis Park, MN 55416-5228

Phone

(612) 217-2719

Fax

(612) 208-8333

NPI assigned

Jul 25, 2013

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeside Psychology Services, LLC

  • Psychologist
  • St Louis Park, MN
  • NPI 1174171649
  NPD Authorized official

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1629410139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 340",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-217-2719",
            "fax_number": "612-208-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 340",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-217-2719",
            "fax_number": "612-208-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-10-04",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629410139",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara McGlynn
• McGovern Psychotherapy, LLC
• Fiona McGovern
• John McGreevy
• Ann T McIntosh, MD
• Marisa Kaye McKeever, DNP
• Kristal Rose McKenzie, LADC
• John Leland McKinley, APRN CNP
• Zeke Jordan McKinney, M.D., M.H.I.
• Trinette McLain-Wesseh

• Clinical Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.