KELLY MARIE MACKENZIE PHD
NPI 1043831100
Psychologist - Clinical in Trenton, NJ

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
832 BRUNSWICK AVE, TRENTON, NJ 08638(609) 815-7400 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Marie Mackenzie Phd NPPES

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

KELLY MARIE MACKENZIE PHD (NPI 1043831100) is an individual clinical provider in Trenton, New Jersey, licensed in New Jersey (35SI00780000) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043831100
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY MARIE MACKENZIECredential: PHD
Location Address832 BRUNSWICK AVETrenton, NJ 08638-3847
Mailing Address832 Brunswick AveTrenton, NJ 08638-3847 · (609) 815-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 29, 2020
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1043831100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NJ · 35SI00780000 Licensed in PA · 390200000X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

832 BRUNSWICK AVE, Trenton, NJ 08638

Secondary Practice Location 1

Location 1Geisinger Medical Center 100 North Academy AvenueDanville, PA 17822-0001 · Phone (570) 271-6211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Marie Mackenzie Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244692895
PECOS Enrollment IDI20250729003238
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist (Orthopedic)
832 BRUNSWICK AVE
TRENTON, NJ 08638
Social Worker
832 BRUNSWICK AVE, 2ND FLOOR
TRENTON, NJ 08638
Counselor
832 BRUNSWICK AVE
TRENTON, NJ 08638
Surgery (Trauma Surgery)
832 BRUNSWICK AVE
TRENTON, NJ 08638
Pharmacist (Ambulatory Care)
832 BRUNSWICK AVE
TRENTON, NJ 08638
Social Worker
832 BRUNSWICK AVE
TRENTON, NJ 08638
Nurse Practitioner (Family)
832 BRUNSWICK AVE
TRENTON, NJ 08638
Physical Medicine & Rehabilitation
832 BRUNSWICK AVE
TRENTON, NJ 08638

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 Kelly Mackenzie's NPI number?

The NPI number for Kelly Mackenzie is 1043831100. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Kelly Mackenzie located?

Kelly Mackenzie practices at 832 Brunswick Ave, Trenton, NJ 08638. The listed phone number is (609) 815-7400.

What is Kelly Mackenzie's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Mackenzie enrolled in Medicare?

Yes. Kelly Mackenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Mackenzie was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.