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CONNER JOHN MCKINZIE
NPI 1043025695
Counselor - Mental Health in New York, NY

Active since February 11, 2025
107 W 82ND ST # LLP101, NEW YORK, NY 10024(646) 389-4112 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2025, Feb 11, 2025 (2 updates tracked since 2025).

About Conner John Mckinzie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNER JOHN MCKINZIE (NPI 1043025695) is an individual mental health provider in New York, New York, licensed in New York (P127394) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1043025695
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCONNER JOHN MCKINZIE
Location Address107 W 82ND ST # LLP101New York, NY 10024-5511
Mailing Address310 Saint Nicholas AveBrooklyn, NY 11237-6566 · (214) 926-2284
Phone(646) 389-4112
Sole ProprietorNo
Enumeration DateFebruary 11, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1043025695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P127394
107 W 82ND ST # LLP101, New York, NY 10024
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN SAX
Marriage & Family Therapist
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
AIRI FUKUDA
Behavior Technician
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
TANAEJA BRADDOX
Behavior Technician
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
ALEXANDRA GRACE DIAZ
Student in an Organized Health Care Education/Training Program
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
MICHELLE MOORE
Behavior Analyst
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
JAZZ BASILIO
Assistant Behavior Analyst
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
ZOE SIMPSON DEAN
Student in an Organized Health Care Education/Training Program
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112
ASHLYN PHILLIP
Behavior Technician
107 W 82ND ST # LLP101
NEW YORK, NY 10024
New York County (646) 389-4112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conner Mckinzie's NPI number?

The NPI number for Conner Mckinzie is 1043025695. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Conner Mckinzie located?

Conner Mckinzie practices at 107 W 82nd St # Llp101, New York, NY 10024. The listed phone number is (646) 389-4112.

What is Conner Mckinzie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Conner Mckinzie was last updated on August 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.