Individual provider Active NPI

Julie Marie Mackel

  • School Psychologist
  • Dayton, NV
National Provider Identifier
1881128262
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
61605 Issued in NV
Practice address
403 Kingsbarn CT
Dayton, NV 89403-8781
Phone
(775) 230-8695
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 61605 NV Primary

Addresses

Primary practice location

403 Kingsbarn CT
Dayton, NV 89403-8781

Mailing address

403 Kingsbarn CT
Dayton, NV 89403-8781
Phone (775) 230-8695

Other identifiers 1

IdentifierTypeStateIssuer
61605OtherNVSCHOOL PSYCHOLOGIST LICENSE

Other names 1

  • Julie Marie Stanley Other name

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

State licenses

LicenseStateTypeSpecialty
61605NVMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1881128262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KINGSBARN CT",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038781",
            "telephone_number": "775-230-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KINGSBARN CT",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038781",
            "telephone_number": "775-230-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEL",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NV",
            "license": "61605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL PSYCHOLOGIST LICENSE",
            "identifier": "61605",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "STANLEY",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.