Active NPI
Terry Glen Mackie, PH.D.
- Psychologist
- Sewickley, PA
National Provider Identifier
1740415306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002292
- Practice address
- 414 Grant St
Sewickley, PA 15143-1231 - Phone
- (412) 741-7430
- NPI assigned
- May 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002292 | PA | Primary |
Addresses
Primary practice location
414 Grant St
Sewickley, PA 15143-1231
Mailing address
2125 Carriage Hill Rd
Allison Park, PA 15101-3321
Phone (412) 366-7592
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002292 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1740415306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 CARRIAGE HILL RD",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151013321",
"telephone_number": "412-366-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 GRANT ST",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431231",
"telephone_number": "412-741-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIE",
"first_name": "TERRY",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.