Tashagaye McKenzie, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

110 Jericho Tpke Ste 212
Floral Park, NY 11001-2019

Phone

(347) 921-0811

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Path2Growth Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Floral Park, NY
  • NPI 1043972391
  NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1790507697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JERICHO TPKE STE 212",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JERICHO TPKE STE 212",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012019",
            "telephone_number": "347-921-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "TASHAGAYE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McDonald, MD
• Regina Marie McElroy
• Phyllis C McGovern, RN
• Mary Ann McGrade, PA
• Cara McGuire
• Rachel McNamara, PT
• Elaine McQuade
• Meadows Family Counseling Inc
• Med Alj Inc
• Med Supreme Inc.

• Psychologist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.