Mackenzie Rae Peltier, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3803 Issued in CT

Practice address

9 Wooster PL Apt 2
New Haven, CT 06511-6969

Phone

(508) 494-4180

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1679044424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST S STE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191717",
            "telephone_number": "203-785-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WOOSTER PL APT 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116969",
            "telephone_number": "508-494-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "MACKENZIE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Pellenberg, MD
• Claire E Pelletier, DPT
• Keith Joseph Pelletier, MBA, MHS, CCP, LP
• Marc Pelletier, M.D.
• Carol Marie Peloquix Peirano, MD
• Francesco Peluso, MD
• Jessica Pena Pardo, LCSW
• Cristian Jeorge Pena, MD
• Joseph Nathaniel Pena, MD
• Norman Penarrieta, MSN, APRN, AGACNP-BC

• Clinical Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.