Active NPI
Adele Mackay, PSY.D.
- Clinical Psychologist
- West Palm Beach, FL
National Provider Identifier
1841227204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 3714
- Practice address
- 801 Northpoint Pkwy
Ste 98
West Palm Beach, FL 33407-1812 - Phone
- (561) 686-7996
- Fax
- (561) 570-1689
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 3714 | FL | Primary |
Addresses
Primary practice location
801 Northpoint Pkwy
Ste 98
West Palm Beach, FL 33407-1812
Mailing address
801 Northpoint Pkwy
Ste 98
West Palm Beach, FL 33407-1812
Phone (561) 686-7996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921001342 | FL | Practitioner - Clinical Psychologist | 3870619372 | Practice locations: West Palm Beach, FL; Stuart, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
801 Northpoint Pkwy
Suite 98
West Palm Beach, FL 33407-1812
Phone (561) 686-7996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 3714 | FL | MD | Clinical Psychologist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1841227204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 NORTHPOINT PKWY",
"address_2": "STE 98",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071812",
"telephone_number": "561-686-7996",
"fax_number": "561-570-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NORTHPOINT PKWY",
"address_2": "STE 98",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071812",
"telephone_number": "561-686-7996",
"fax_number": "561-570-1689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "ADELE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 3714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.