Colin N Mackenzie MD LC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30842 Issued in KS

Legal business name

COLIN N MACKENZIE MD LC

Practice address

11011 King St
Suite 260
Overland Park, KS 66210-1213

Phone

(913) 642-3134

Fax

(913) 766-6037

NPI assigned

Apr 24, 2009

Last updated

Apr 24, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Colin Neil Mackenzie, M.D.

Title

Sole Member

Phone

(913) 642-3134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1962646604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 KING ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101213",
            "telephone_number": "913-642-3134",
            "fax_number": "913-766-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 KING ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101213",
            "telephone_number": "913-642-3134",
            "fax_number": "913-766-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN N MACKENZIE MD LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "913-642-3134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "30842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kay Colean, LCPC
• Crystal Coleman, RBT
• Lisa Lee Coleman, LSCSW
• Sheena Jo Coleman, NP
• Whitney T Coleman, O.D.
• Michael Allan-Joseph Colin, LPC, LMAC, CTP, NCC
• College Park Ancillary, LLC (College Park Physical Therapy)
• College Park Ancillary, LLC
• College Park Endoscopy Center LLC (College Park Surgery Center)
• College Park Family Care Center PA

• Psychiatry Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.