Individual provider Active NPI

Michael McKee, PH.D.

  • Psychologist
  • Garrison, NY
National Provider Identifier
1700913654
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011802 Issued in NY
Practice address
35 Garrison LDG Ste B
Garrison, NY 10524-3663
Phone
(914) 584-9352
NPI assigned
Feb 27, 2007
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011802 NY Primary

Addresses

Primary practice location

35 Garrison LDG Ste B
Garrison, NY 10524-3663

Mailing address

35 Garrison LDG Ste B
Garrison, NY 10524-3663
Phone (914) 584-9352

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000092 NY Practitioner - Clinical Psychologist 6507813938 Practice locations: Garrison, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Garrison LDG
Suite B
Garrison, NY 10524-3663
Phone (914) 584-9352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011802NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1700913654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GARRISON LDG STE B",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243663",
            "telephone_number": "914-584-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GARRISON LDG STE B",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243663",
            "telephone_number": "914-584-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-02-03",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, NY

Sources for this page

Verify at the official NPI Registry.