DR. DEREK ALAN MCKAY (NPI# 1578128211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578128211 |
| Entity Type | Individual |
| Full Name | DR. DEREK ALAN MCKAY |
| Credential | PH.D. |
| Practice Address |
640 Alden St Meadville PA 16335-2348 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143735266 |
| Practice Fax Number | 8143735269 |
| Mailing Telephone | 8143735255 |
| Mailing Fax Number | 8143735269 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005966 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018771 | PA | Behavioral Health & Social Service Providers |
| Street Address |
640 ALDEN ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078302 | Curtis H Laub | Orthopaedic Surgery | 640 Alden St, Meadville, PA 16335-2348 | 2006-01-26 |
| 1952952715 | Cassandra May Kreider | Nurse Practitioner | 640 Alden St, Meadville, PA 16335-2348 | 2019-09-24 |
| 1285280461 | April Vivian Gebhart | Social Worker | 640 Alden St, Meadville, PA 16335-2348 | 2019-08-14 |
| 1164984712 | Alexis B Pearson | Nurse Practitioner | 640 Alden St, Meadville, PA 16335-2348 | 2019-04-03 |
| 1962964981 | Titusville Area Hospital | Clinic/Center | 640 Alden St, Meadville, PA 16335-2348 | 2019-04-01 |
| 1891271326 | Andrew Glenn Linn | Dentist | 640 Alden St, Meadville, PA 16335-2348 | 2018-07-18 |
| 1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
| 1942797303 | Meadville Medical Center | Family Medicine | 640 Alden St, Meadville, PA 16335-2348 | 2018-04-20 |
| 1942719711 | Nichole B Witchey | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2017-09-25 |
| 1205355112 | Leanna Gosser | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2017-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255686051 | Woodbridge Counseling, LLC | Psychologist | 1041 Park Ave, Meadville, PA 16335-4324 | 2012-07-17 |
| 1073701397 | Glenn W Thompson | Psychologist | 628 Arch St, Suite A102, Meadville, PA 16335-2725 | 2007-10-11 |
| 1619988797 | Scott Adam Merritt | Psychologist | 16269 Conneaut Lake Rd, Suite 101, Meadville, PA 16335-3887 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427178 | Sabrina Hakim | Psychologist | 6001 University Boulevard, Jefferson Center 110, Moon Township, PA 15108-1189 | 2020-11-05 |
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1215541164 | Intellishyft, LLC | Psychologist | 1442 Pottstown Pike # 346, West Chester, PA 19380-1271 | 2020-09-08 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1992314470 | Ashley Gill | Psychologist | 627 Pittsburgh Rd Ste 2, Uniontown, PA 15401-2200 | 2020-07-30 |
| 1427666726 | Chu Chian Chong | Psychologist | 510 Brighton Rd, Collegeville, PA 19426-1756 | 2020-07-22 |
| 1245848027 | Revolutionary Perspectives, LLC | Psychologist | 3-1 Bloomfield Ave, Drexel Hill, PA 19026-5555 | 2020-07-17 |
| 1609494749 | Zachary Seth Stern | Psychologist | 225 N Broad St, Allentown, PA 18104-5347 | 2020-07-06 |
| 1275150021 | Peter Bachman | Psychologist | 3501 Forbes Ave Ste 450, Pittsburgh, PA 15213-3327 | 2020-06-28 |
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| 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.