Individual provider Active NPI

Angela Mackay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1720655053
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224907 Issued in MD
Practice address
8000 Jumpers Hole Rd
Pasadena, MD 21122-1036
Phone
(240) 883-4025
NPI assigned
Jun 7, 2021
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R224907 MD Primary

Addresses

Primary practice location

8000 Jumpers Hole Rd
Pasadena, MD 21122-1036

Mailing address

8000 Jumpers Hole Rd Ste 217
Pasadena, MD 21122-1046
Phone (240) 883-4025

Other names 1

  • Dr. Angela Mackay Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211115002330 MD Practitioner - Nurse Practitioner 8820487705 Reassigns benefits to 2 organizations
I20220217000077 DC Practitioner - Nurse Practitioner 8820487705 Reassigns benefits to 2 organizations
I20230202002677 CA Practitioner - Nurse Practitioner 8820487705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mackay Behavioral Health ServicesGroup PAC ID 7911396890, 2 clinicians

Practice addresses (Care Compare)

15233 Ventura Blvd
Suite 500
Sherman Oaks, CA 91403-2231
Phone (240) 883-4025

8000 Jumpers Hole Rd
Suite 217
Pasadena, MD 21122-1046
Phone (240) 883-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jan 3, 2023 Accepting new patients
A & a Global Care Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 10, 2024 Accepting new patients
Mackay Behavioral Health Services Psychiatric/Mental Health CurrentSince Aug 12, 2021 Accepting new patients
Doza Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Sep 10, 2023 Accepting new patients
Denoor Healthcare Services Inc CurrentSince Oct 14, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

15233 Ventura Blvd
Ste 500
Sherman Oaks, CA 91403
Phone (323) 532-0282

1775 I St NW
Ste 1150
Washington, DC 20006
Phone (202) 313-7696

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8000 Jumpers Hole Rd
Ste 217
Pasadena, MD 21122
Phone (240) 883-4025

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1720655053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 JUMPERS HOLE RD STE 217",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221046",
            "telephone_number": "240-883-4025",
            "fax_number": "410-415-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 JUMPERS HOLE RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221036",
            "telephone_number": "240-883-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "ANGELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MACKAY",
            "prefix": "DR.",
            "credential": "DNP, APRN, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.