Active NPIIndividual provider

Dr. Marybeth Mackin, PHD

Psychologist, Clinical in Bayonne, New Jersey

NPI Number1750467023
Practice location
497 Broadway, Room 2, Bayonne, NJ 07002
Fax
—
Last updated
September 18, 2026

Marybeth Mackin is a Psychologist, Clinical based in Bayonne, NJ. Marybeth Mackin practices in Bayonne, NJ and has the professional credentials of PHD. The NPI Number for Marybeth Mackin is 1750467023 and holds a License No. 010858 (NY). The current practice location address for Marybeth Mackin is 497 Broadway, Room 2, Bayonne, NJ 07002 and can be reached out via phone at 201-437-4200.

Provider Profile Details

NPI Number
1750467023
Provider Name
Marybeth Mackin
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
497 Broadway, Room 2, Bayonne, NJ 07002
Phone Number
201-437-4200
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
October 31, 2006
Last Update Date
September 18, 2026
Certification Date
September 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
497 Broadway
Room 2
Bayonne, NJ 07002
Zip
07002
Phone Number
201-437-4200
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
497 Broadway Ste 2
Bayonne, NJ 07002-3710
City
Bayonne
State
NJ
Zip
07002-3710
Phone Number
201-437-4200

License Information

License Number (1)
010858
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
35s100321400
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marybeth Mackin, PHD?

The NPI number of Dr. Marybeth Mackin, PHD is 1750467023. It was assigned on October 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marybeth Mackin, PHD?

Dr. Marybeth Mackin, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 010858.

Where does Dr. Marybeth Mackin, PHD practice?

The practice location is 497 Broadway, Room 2, Bayonne, NJ 07002. The office can be reached at 201-437-4200 (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 1750467023 directly on the NPPES registry website.

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