DR. JOAN ANNE MACKELL


Address: 7 Hollywood Avenue, Douglas Manor, NY 11363
Phone: 9175435751

DR. JOAN ANNE MACKELL (NPI# 1174087753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174087753
Entity Type Individual
Full Name DR. JOAN ANNE MACKELL
Other Name JOAN ANNE O'HANDLEY
Credential PHD
Practice Address 7 Hollywood Avenue
Douglas Manor
NY 11363
Mailing Address 7 Hollywood Avenue
Douglas Manor
NY 11363-1107
Practice Telephone 9175435751
Mailing Telephone 9175435751
Enumeration Date 2019-01-28
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 012395-1 NY Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
012395-1 NY Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
012395-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 7 HOLLYWOOD AVENUE
City DOUGLAS MANOR
State NY
Zip Code 11363

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922494780 Grace Feng Dentist 44-20 Douglaston Parkway, Suite # 1-a, Douglaston, NY 11363 2015-04-08
1740425974 Blanton-peale Institute Social Worker 39-50 Douglaston Parkway, Douglaston, NY 11363 2008-12-02
1043373749 Steven Howard Eisenberg Dentist 252-01 Northern Blvd., Little Neck, NY 11363 2006-12-18
1275648065 Robert Blatt Podiatrist 255-17 Northern Blvd, Little Neck, NY 11363 2006-08-20
1952750812 Nancy Wang Physician Assistant 336 Richmond Rd, Douglaston, NY 11363-1028 2016-06-10
1376821785 Janella Hong Student in an Organized Health Care Education/Training Program 312 Warwick Ave, Douglaston, NY 11363-1041 2011-08-02
1407915523 Lisa Ellen Lempel-sander Psychoanalyst 221 Hollywood Ave, Douglaston, NY 11363-1111 2006-12-06
1851990782 Dean Russo Physician Assistant 309 Hollywood Ave, Douglaston, NY 11363-1113 2020-10-21
1306154406 Diane Depaz-el-sawaf Speech-Language Pathologist 363 Manor Rd, Douglaston, NY 11363-1115 2010-09-23
1437420718 Kenneth Robert Ong Internal Medicine 21 Beverly Rd, Douglaston, NY 11363-1119 2012-01-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1194324657 Elizabeth Brunoski Psychologist 50 W 67th St Ste 5h, New York, NY 10023-6227 2020-10-25
1760081830 Meagan Ryan Psychologist 1 3rd Ave Apt 516, Mineola, NY 11501-4340 2020-10-20
1912505587 Elspeth Hayden Kelly Psychologist 519 8th Ave Fl 8, New York, NY 10018-6506 2020-10-15
1700484623 Rena Lee Miller Psychologist 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 2020-10-13
1558968842 Ethan Eisen Psychologist 107 Lakeside Dr E, Lawrence, NY 11559-1718 2020-10-08
1790382398 Katelynn Marie Faulkner Psychologist 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 2020-10-06
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Competitor

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City DOUGLAS MANOR
Zip Code 11363

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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