Organization Active NPI

Michelle McNally PSYD PLLC

  • Clinical Psychologist
  • Coconut Creek, FL
National Provider Identifier
1902405889
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MICHELLE MCNALLY PSYD PLLC
Practice address
6945 Halton Park LN
Coconut Creek, FL 33073-2170
Phone
(561) 621-3137
Fax
(561) 228-5359
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Michelle McNally, PSYDNPI 1922607381
Title
Licensed Psychologist
Phone
(561) 621-3137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6945 Halton Park LN
Coconut Creek, FL 33073-2170

Mailing address

6945 Halton Park LN
Coconut Creek, FL 33073-2170
Phone (561) 621-3137

Other names 1

  • MCNALLY PSYCHOLOGY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204001788 FL Part B Supplier - Clinic/Group Practice 0749691202 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1 W Camino Real
Ste 114B
Boca Raton, FL 33432
Phone (561) 621-3137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1902405889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 HALTON PARK LN",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732170",
            "telephone_number": "561-621-3137",
            "fax_number": "561-228-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 HALTON PARK LN",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732170",
            "telephone_number": "561-621-3137",
            "fax_number": "561-228-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MCNALLY PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-621-3137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCNALLY PSYCHOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.