John Sherman McKenzie, PSY.D., L.P.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4456 Issued in MN

Practice address

3253 19TH St NW
Suite #1
Rochester, MN 55901-6786

Phone

(507) 529-7625

Fax

(507) 529-7625

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972658995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 PLYMOUTH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013447",
            "telephone_number": "507-529-7625",
            "fax_number": "507-529-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 19TH ST NW",
            "address_2": "SUITE #1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-529-7625",
            "fax_number": "507-529-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JOHN",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie A McKellips, PA-C
• Catherine Elizabeth McKenna, M.D.
• Nicholas Paul McKenna, M.D.
• Julie McKenny Mitchell
• Gavin Amery McKenzie, M.D.
• Kyle M McKenzie, MD
• Susan J McKenzie, RN, CNP
• Timmiah Yasmeen McKenzie
• Travis J McKenzie, MD
• Andrew McKeon, MD

• Counseling Psychologist in Rochester, MN
• Providers in Rochester, MN by specialty
• Counseling Psychologist in Minnesota

• 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.

Verify at the official NPI Registry.