Individual provider Active NPI

Sandra McKay, BSN, LMFT

  • Marriage & Family Therapist
  • Duluth, GA
National Provider Identifier
1730394347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
495 Issued in GA
Practice address
1810 Peachtree Industrial Blvd
Suite 233
Duluth, GA 30097-8180
Phone
(678) 777-1037
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 495 GA Primary

Addresses

Primary practice location

1810 Peachtree Industrial Blvd
Suite 233
Duluth, GA 30097-8180

Mailing address

1810 Peachtree Industrial Blvd
Suite 233
Duluth, GA 30097-8180
Phone (678) 777-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
495GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730394347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 233",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978180",
            "telephone_number": "678-777-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 233",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978180",
            "telephone_number": "678-777-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "BSN, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.