Carol Hyman Macknin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35059098 Issued in OH

Practice address

23230 Chagrin Blvd
#845
Beachwood, OH 44122-5446

Phone

(216) 595-9260

Fax

(216) 763-9279

NPI assigned

Sep 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982707931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "#845",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-595-9260",
            "fax_number": "216-763-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "#845",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-595-9260",
            "fax_number": "216-763-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKNIN",
        "first_name": "CAROL",
        "middle_name": "HYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35059098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Douglass Lystad, MD
• Wendy Maayan
• Kyle Mack
• Leroy Mack Jr., RN
• Cynthia S Mackey, CNP
• Brinn Maclellan
• Taylor Macwhade
• Tayler Madan
• Brian Q Magat, PT
• Anthony Magnacca, PT

• Psychiatry Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatry Physician in Ohio

• 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.