Loretta Kay McKenzie, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006007 Issued in IL

Practice address

2325 W White Oaks Dr
Suite C
Springfield, IL 62704-7419

Phone

(217) 793-3949

Fax

(217) 793-3995

NPI assigned

Sep 22, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 27, 2025 through Oct 27, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Harmony Counseling Services LLC

  • Clinical Psychologist
  • New Harmony, IN
  • NPI 1306552534
  NPD Authorized official
• Sarma Behavioral Health Clinic, LLC

  dba Sarma Behavioral Health Clinic

  • Psychiatry Physician
  • Punta Gorda, FL
  • NPI 1063523157
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1922108885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W WHITE OAKS DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047419",
            "telephone_number": "217-793-3949",
            "fax_number": "217-793-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W WHITE OAKS DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047419",
            "telephone_number": "217-793-3949",
            "fax_number": "217-793-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LORETTA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "108270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "722281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8432104",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget E McIlwee, DO
• Tania K. McKahin, P.T.
• Mark T. McKay, M.D.
• Windie C. McKay, D.C.
• Ashley McKechan, PHARMD, RPH
• Susan M McKenzie, RD
• William McKenzie, MS, LCPC
• Dale T McKinney, PA-C
• Dylan S McKinney, APRN
• Maresa McKraken, RN

• Clinical Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.