Melanda Odetta McKenzie, MS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3175 E Tremont Ave
Bronx, NY 10461-5700

Phone

(718) 239-8239

Fax

(718) 504-9631

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1790270403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HUNT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623922",
            "telephone_number": "917-517-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-239-8239",
            "fax_number": "718-504-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MELANDA",
        "middle_name": "ODETTA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amora R McKenzie, LMSW
• Earl L McKenzie
• Gwendolyn Hanna McKenzie, LCSW
• Kayanne McKenzie, FNP
• Krista Justine McKenzie, DDS
• Michelle McKenzie, FNP
• Natasha A McKenzie
• Natoya McKenzie
• Sayquan McKenzie, LMT
• Nicole Renee McKever

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.