Kelly M Mackenzie, PHD
Psychologist, Clinical in Trenton, New Jersey
1043831100- Practice location
- 832 Brunswick Ave, Trenton, NJ 08638-3847
- Phone
- 609-815-7400
- Fax
- —
- Last updated
- July 17, 2025
Kelly Marie Mackenzie is a Psychologist, Clinical based in Trenton, NJ. Kelly Marie Mackenzie practices in Trenton, NJ and has the professional credentials of PHD. The NPI Number for Kelly Marie Mackenzie is 1043831100 and holds a License No. 390200000X (PA). The current practice location address for Kelly Marie Mackenzie is 832 Brunswick Ave, Trenton, NJ 08638-3847 and can be reached out via phone at 609-815-7400.
Provider Profile Details
- NPI Number
- 1043831100
- Provider Name
- Kelly Marie Mackenzie
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 832 Brunswick Ave, Trenton, NJ 08638-3847
- Phone Number
- 609-815-7400
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2020
- Last Update Date
- July 17, 2025
- Certification Date
- July 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 832 Brunswick Ave
Trenton, NJ 08638-3847 - City
- Trenton
- State
- New Jersey
- Zip
- 08638-3847
- Phone Number
- 609-815-7400
Provider Business Mailing Address Details
- Address
- 832 Brunswick Ave
Trenton, NJ 08638-3847 - City
- Trenton
- State
- NJ
- Zip
- 08638-3847
- Phone Number
- 609-815-7400
License Information
- License Number (1)
- 390200000X
- License State (1)
- PA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 35SI00780000
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Trenton, NJ
View all Psychologist, Clinical providers in Trenton →Frequently Asked Questions
What is the NPI number of Kelly M Mackenzie, PHD?
The NPI number of Kelly M Mackenzie, PHD is 1043831100. It was assigned on April 29, 2020 and is currently active in the NPPES registry.
What is the specialty of Kelly M Mackenzie, PHD?
Kelly M Mackenzie, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number 390200000X.
Where does Kelly M Mackenzie, PHD practice?
The practice location is 832 Brunswick Ave, Trenton, NJ 08638-3847. The office can be reached at 609-815-7400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043831100 directly on the NPPES registry website.