THERESA ANN MCKENNA PHD
NPI 1568463560
Psychologist in Port Jefferson, NY
About Theresa Ann Mckenna Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA ANN MCKENNA PHD (NPI 1568463560) is an individual psychologist in Port Jefferson, New York, licensed in New York (013779) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Theresa Ann Mckenna 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Hospital
Acute Care Hospitals · Port Jefferson, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Theresa Mckenna's NPI number?
The NPI number for Theresa Mckenna is 1568463560. It was assigned to this individual provider in the NPPES registry on August 2, 2005.
Where is Theresa Mckenna located?
Theresa Mckenna practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6000.
What is Theresa Mckenna's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Theresa Mckenna enrolled in Medicare?
Yes. Theresa Mckenna 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.
Is Theresa Mckenna affiliated with any hospitals?
According to CMS data, Theresa Mckenna is affiliated with St Charles Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Mckenna was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.