Active NPI
Wendy McKenna, PH.D.
- Psychologist
- Port Chester, NY
National Provider Identifier
1861514952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006703
- Practice address
- 22 Elizabeth St
Port Chester, NY 10573-3004 - Phone
- (914) 939-9197
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006703 | NY | Primary |
Addresses
Primary practice location
22 Elizabeth St
Port Chester, NY 10573-3004
Mailing address
22 Elizabeth St
Port Chester, NY 10573-3004
Phone (914) 939-9197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861514952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ELIZABETH ST",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733004",
"telephone_number": "914-939-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ELIZABETH ST",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733004",
"telephone_number": "914-939-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.