Aidza Y. McKenzie, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8152 Issued in MA

Practice address

108 Russell St
Hadley, MA 01035-9595

Phone

(413) 387-0075

Fax

(413) 387-0074

NPI assigned

Jan 9, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Brightside Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1093709370
  NPD (past)
• Institute of Human Solutions LLC

  • Child & Adolescent Psychiatry Physician
  • Northampton, MA
  • NPI 1033361845

  Clinical

  NPD (past)
• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1942359187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359595",
            "telephone_number": "413-387-0075",
            "fax_number": "413-387-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359595",
            "telephone_number": "413-387-0075",
            "fax_number": "413-387-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "AIDZA",
        "middle_name": "Y.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "W10610",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald A. Matuson, DMD
• Kara M McCarthy-Chapdelaine, M.ED, CAGS
• Samuel Alexander McClellan
• Carolyn Ann McGill, M.S.W., L.I.C.S.W.
• Carroll Suzanne McGrath, RNPC, PMHCNS-BC
• Medexpress Urgent Care, PC - Massachusetts
• Gail Epstein Mengel, PH.D.
• Autumn Middlemass
• Ileana Miranda-Velazquez, CNS
• George J. Mitrolka Jr., ATC

• Clinical Psychologist in Hadley, MA
• Providers in Hadley, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.