Joanna Mackenzie

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2679 Issued in CT

Practice address

3 W End Ave
Old Greenwich, CT 06870-1640

Phone

(203) 722-5152

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Mackenzie Family Therapy PLLC

  • Marriage & Family Therapist
  • Old Greenwich, CT
  • NPI 1669142196
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1740950633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W END AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701640",
            "telephone_number": "203-722-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W END AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701640",
            "telephone_number": "203-722-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mackenziefamilytherapy@gmail.com",
            "affiliation": "N",
            "address_1": "3 W End Ave",
            "city": "Old Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068701640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Goldstein Lomazow, M.S., CCC-SLP
• Laurence Santo Lorefice, M.D.
• Mary Ellen Foulds Lorefice, MSW, LCSW
• Lauren Lukason, MT-BC
• Mackenzie Family Therapy PLLC
• Amanda Mackey
• Kevin John Makarewicz, LPC
• Edward J Mamelok, LO
• Suzette Mantaring-Harris, PT
• Ranya K Marjieh

• Marriage & Family Therapist in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.