Individual provider Active NPI

Mackenzie Targett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleton, MA
National Provider Identifier
1972220598
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2363139 Issued in MA
Practice address
35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone
(617) 958-2726
Fax
(781) 214-3174
NPI assigned
Oct 24, 2022
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2363139 MA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2363139 MA

Addresses

Primary practice location

35 Village Rd Ste 100
Middleton, MA 01949-1238

Mailing address

35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone (617) 958-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2363139MAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1972220598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VILLAGE RD STE 100",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491238",
            "telephone_number": "617-958-2726",
            "fax_number": "781-214-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VILLAGE RD STE 100",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491238",
            "telephone_number": "617-958-2726",
            "fax_number": "781-214-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARGETT",
        "first_name": "MACKENZIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2363139",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2363139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

Verify at the official NPI Registry.