Makinna Leigh McGinnis, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5165-57 Issued in WI

Practice address

1220 W Vliet St
Milwaukee, WI 53205-2117

Phone

(414) 758-4019

NPI assigned

Jun 19, 2019

Reactivated

Jul 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waukesha CountyGroup PAC ID 3971405481, 29 clinicians

Practice addresses (Care Compare)

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.

• Waukesha County

  • Case Management Agency
  • Waukesha, WI
  • NPI 1740403146

  WI

  Medicare reassignment Care Compare group NPD
• Waukesha County

  • Psychiatric Hospital
  • Waukesha, WI
  • NPI 1407988892
  Care Compare group NPD (past)
• Waukesha County

  • Primary Care Clinic/Center
  • Waukesha, WI
  • NPI 1346364585
  Care Compare group
• Waukesha County

  • Mental Illness Community Based Residential Treatment Facility
  • Waukesha, WI
  • NPI 1477314854
  NPD
• Integrative Psyche, LLC

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1255704565

  Clinical

  NPD (past)
• Waukesha County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1033243340
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1972163129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E LOCUST ST APT 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122687",
            "telephone_number": "608-387-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532052117",
            "telephone_number": "414-758-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MAKINNA",
        "middle_name": "LEIGH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "deactivation_date": "2022-05-17",
        "reactivation_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5165-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L McGinley, OT
• Brian B McGinley, O.D.
• Victoria Anne McGinley, APNP
• Melodie L McGinn, NP
• Kathleen McGinnis, DO
• Nicole McGlaston, PROVIDER
• Melissa L McGlynn, PA-C
• Erin Marie McGonigle, M.D.
• McGowan Transport Services
• Benetria Y McGowan, LPC, SAC-IT

• All providers in Milwaukee, WI
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.