Mika Lorien Morgan Macinnis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS01565 Issued in RI

Practice address

291 Waterman St
Providence, RI 02906-5130

Phone

(401) 338-8818

NPI assigned

Jul 15, 2016

Last updated

Aug 31, 2016By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1689027518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MEMORIAL RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062720",
            "telephone_number": "401-338-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065130",
            "telephone_number": "401-338-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNIS",
        "first_name": "MIKA",
        "middle_name": "LORIEN MORGAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin K. Machado, PA-C
• Tuany Machado, LMT
• Carole Machamer, PTA
• Luka Machavariani
• Todd R Machie, MS, RN
• Khohlia Mack, DMD
• Megan Mack, LICSW
• Melanie Mack, PA-C
• Thomas Mack, LCSW
• Mary Jo M Mackinnon, FNP-C, ND

• Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.