MATTHEW MACKAY (NPI# 1619160645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619160645 |
Entity Type | Individual |
Full Name | MATTHEW MACKAY |
Credential | PSY.D. |
Practice Address |
1380 E Medical Center Dr Ste 3100 St George UT 84790-2135 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 4352512740 |
Mailing Telephone | 4352512740 |
Mailing Fax Number | 4352512741 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2015-04-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
376697 | UT | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25080 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093741167 | Matthew Hubbard Mackay | Dentist | 425 Medical Dr. Suite 211, Bountiful, UT 84010 | 2006-06-23 |
1790213783 | Matthew James Mackay | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2017-06-02 |
Street Address |
1380 E MEDICAL CENTER DR STE 3100 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-2135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033514567 | Rachel Renae Rudd Thompson | Physician Assistant | 1380 E Medical Center Dr Ste 3100, St George, UT 84790-2135 | 2014-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
Find all providers in zip 84790 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669008868 | Karambir Singh Khalsa | Psychologist | 1037 E 100 S, St George, UT 84770-3006 | 2020-03-19 |
1699954230 | Elizabeth A Firth | Psychologist | 320 E 600 S, St George, UT 84770-3949 | 2007-10-31 |
1972726800 | Derry L Brinley | Psychologist | 474 W 200 N, Suite 200, St George, UT 84770-4505 | 2007-04-10 |
1215065958 | Paul Staheli | Psychologist | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-03-02 |
1952443236 | Lynne Cobb | Psychologist | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-02-13 |
1043351323 | Christina J Durham | Psychologist | 166 N 300 W, Suite 1, St George, UT 84770-2770 | 2007-02-09 |
1437251170 | Chauncey Sandberg Adams | Psychologist | 544 S 400 E, St George, UT 84770-3705 | 2006-09-02 |
1831102490 | James Mcbride Ottesen | Psychologist | 640 E 700 S, Suite 207, St George, UT 84770-4023 | 2006-08-14 |
1609821693 | Richard Young Moody | Psychologist | 1071 E 100 S, Suite C7, St George, UT 84770-3070 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
1023627759 | Wasatch Front Wellness, Pllc | Psychologist | 940 N 400 E Ste 3, North Salt Lake, UT 84054-1945 | 2020-07-29 |
1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
1467073833 | Realign Psychology LLC | Psychologist | 1042 E Fort Union Blvd, #1085, Midvale, UT 84047-1800 | 2020-04-27 |
1508404344 | Rith Counseling and Assessment Pllc | Psychologist | 10432 S 4000 W, South Jordan, UT 84009-5729 | 2019-12-11 |
1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
1407311087 | Hiu Wai Caldwell | Psychologist | 796 E. Pacific Drive Suite B, American Fork, UT 84003-8400 | 2019-02-07 |
1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
Find all providers with the same taxonomy |
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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.