Elizabeth L McKenzie, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21671 Issued in CA

Practice address

20688 4TH St
Suite 3
Saratoga, CA 95070-5894

Phone

(650) 906-9148

NPI assigned

Jul 9, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1821471798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MERCER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254441",
            "telephone_number": "408-460-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20688 4TH ST",
            "address_2": "SUITE 3",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705894",
            "telephone_number": "650-906-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark V Mingrone OD
• Bradford Francis Martin, P.T.
• Colleen Martin, LCSW
• Fernando O.L. Martinez, , HAD
• Ginger Martire, PH. D.
• Tyler Nathan Mead
• Barbara Ann Merrill, P.T.
• Cassandra Cynthia Kobinski Meszaros, DPT
• Valeriya Mikhailova, NP
• Lauren Ashley Miller, LMFT

• Clinical Psychologist in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.