Michelle McNally, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10827 Issued in FL

Practice address

6945 Halton Park LN
Coconut Creek, FL 33073-2170

Phone

(561) 621-3137

NPI assigned

Oct 18, 2020

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michelle McNally PSYD PLLC

  • Clinical Psychologist
  • Coconut Creek, FL
  • NPI 1902405889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1922607381",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natacha Mauvais
• Alexzandria May
• Mary Mazzaferro
• Tabatha McHill, PHARMD
• Allison McLean
• Erin McNamee, L.C.S.W.
• Renee Dawn McPherson-Watson, PH.D.
• Medcap Investment Group LLC
• Medical Specialists of Florida PA
• Abdon J. Medina, M.D.

• Clinical Psychologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Clinical Psychologist in Florida

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.