Flagship Neuropsychology PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

FLAGSHIP NEUROPSYCHOLOGY PLLC

Practice address

1001 State St Ste 1400
Erie, PA 16501-1834

Phone

(148) 622-4894

Fax

(814) 298-6401

NPI assigned

Aug 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Derek Alan McKay, PH.D., ABPP-CNNPI 1578128211

Title

Owner/Neuropsychologist

Phone

(814) 622-4894

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Alan McKay, PH.D.

  • Clinical Psychologist
  • Meadville, PA
  • NPI 1578128211

  Clinical Neuropsychologist

  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1689301129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 STATE ST STE 1400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011834",
            "telephone_number": "148-622-4894",
            "fax_number": "814-298-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 STATE ST STE 1400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011834",
            "telephone_number": "148-622-4894",
            "fax_number": "814-298-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "814-622-4894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP-CN"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Paul Fitzgerald, PA-C
• Kaitlin Marie Flach, CRNA
• Ryan Flach
• Flagship Cardiac Vascular and Thoracic Surgery of Erie, PC
• Flagship Functional Medicine LLC
• John A. Flamini, M.D.
• Katherine Flanagan
• Courtney Flannigan
• Kimberly Flatt
• Linda M Fleming, PHD

• Clinical Neuropsychologist in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

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