Mackenzie McCullough

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

150 W 22ND St FL 8
New York, NY 10011-6557

Phone

(469) 772-9400

NPI assigned

Nov 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1942075494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 DONIPHAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645071922",
            "telephone_number": "816-676-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 22ND ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116557",
            "telephone_number": "469-772-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda L McCulloch, LCSW
• Danielle McCullough, M.D.
• Elliot Paradis McCullough, LMSW
• Gene P McCullough, RN,NP
• Hayley McCullough, DO
• Madison Zara McCullough, LCSW
• Marie Booker McCullough, NP
• Stephen A McCullough, MD
• Taji Ali McCullough
• Kasi Rebecca McCune, M.D.

• Health & Wellness Coach in New York, NY
• Providers in New York, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.