Active NPI
Meghan E McKenzie, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1649605239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023242
- Practice address
- 622 W 168TH St FL 4
New York, NY 10032-3720 - Phone
- (917) 471-4078
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023242 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St FL 4
New York, NY 10032-3720
Mailing address
622 W 168TH St FL 4
New York, NY 10032-3720
Other practice location 1
Ties For Families
1000 Veteran Avenue Box 957142
Los Angeles, CA 90095-7142
Phone (310) 825-6110
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mem9182@nyp.org | New York Presbyterian Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122003406 | NY | Order and Referring Only - Clinical Psychologist | 7618402900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1649605239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "917-471-4078"
}
],
"practiceLocations": [
{
"address_1": "Ties For Families",
"address_2": "1000 Veteran Avenue Box 957142",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957142",
"country_code": "US",
"telephone_number": "310-825-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENZIE",
"first_name": "MEGHAN",
"middle_name": "E",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023242",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mem9182@nyp.org",
"affiliation": "Y",
"affiliationName": "New York Presbyterian Hospital",
"address_1": "622 W 168th St Fl 4",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.