Active NPI
Brian Mackey, PH.D.-P
- School Psychologist
- Cary, NC
National Provider Identifier
1952438475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 102679
- Practice address
- 1903 N Harrison Ave
Suite 101
Cary, NC 27513-2410 - Phone
- (919) 677-0101
- Fax
- (919) 677-0113
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 102679 | NC | Primary |
Addresses
Primary practice location
1903 N Harrison Ave
Suite 101
Cary, NC 27513-2410
Mailing address
1903 N Harrison Ave
Suite 101
Cary, NC 27513-2410
Phone (919) 677-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102679 | NC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952438475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 N HARRISON AVE",
"address_2": "SUITE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275132410",
"telephone_number": "919-677-0101",
"fax_number": "919-677-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 N HARRISON AVE",
"address_2": "SUITE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275132410",
"telephone_number": "919-677-0101",
"fax_number": "919-677-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "BRIAN",
"credential": "PH.D.-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "102679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.