Active NPIIndividual provider

Dr. Timothy A Mckenzie, PHD

Psychologist in Medford, Massachusetts

NPI Number1760598205
Practice location
151 Mystic Ave, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
July 8, 2007

Timothy Andrew Mckenzie is a Psychologist based in Medford, MA. Timothy Andrew Mckenzie practices in Medford, MA and has the professional credentials of PHD. The NPI Number for Timothy Andrew Mckenzie is 1760598205 and holds a License No. 3389 (MA). The current practice location address for Timothy Andrew Mckenzie is 151 Mystic Ave, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1760598205
Provider Name
Timothy Andrew Mckenzie
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
151 Mystic Ave, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
632 Washington St
Unit E6
Braintree, MA 02184-5727
City
Braintree
State
MA
Zip
02184-5727
Phone Number
781-849-1250

License Information

License Number
3389
License State
MA
Taxonomy
Psychologist · 103T00000X · 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. Timothy A Mckenzie, PHD?

The NPI number of Dr. Timothy A Mckenzie, PHD is 1760598205. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Timothy A Mckenzie, PHD?

Dr. Timothy A Mckenzie, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 3389.

Where does Dr. Timothy A Mckenzie, PHD practice?

The practice location is 151 Mystic Ave, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (fax).

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 1760598205 directly on the NPPES registry website.

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