DR. TIMOTHY ANDREW MCKENZIE PH.D
NPI 1760598205
Psychologist in Medford, MA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
151 MYSTIC AVE, MEDFORD, MA 02155(781) 396-1199(781) 396-1439 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy Andrew Mckenzie Ph.d NPPES

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

DR. TIMOTHY ANDREW MCKENZIE PH.D (NPI 1760598205) is an individual psychologist in Medford, Massachusetts, licensed in Massachusetts (3389) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1980).

NPPES Registry Identity

NPI1760598205
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIMOTHY ANDREW MCKENZIECredential: PH.D
Location Address151 MYSTIC AVEMedford, MA 02155-4632
Mailing Address632 Washington St, Unit E6Braintree, MA 02184-5727 · (781) 849-1250
Fax(781) 396-1439
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1980
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760598205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 3389
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

151 MYSTIC AVE, Medford, MA 02155

Other Identifiers 1

Medicare ID-Type UnspecifiedW03513MA

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

Dr. Timothy Andrew Mckenzie Ph.d 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 ID244497725
PECOS Enrollment IDI20120210000809
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
995 services31 patients

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.

Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Marriage & Family Therapist
151 MYSTIC AVE, SUITE 6
MEDFORD, MA 02155
Counselor
151 MYSTIC AVE
MEDFORD, MA 02155
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Counselor (Mental Health)
151 MYSTIC AVE, SUITE SIX
MEDFORD, MA 02155
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Counselor (Mental Health)
151 MYSTIC AVE, SUITE SIX
MEDFORD, MA 02155
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155

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 Timothy Mckenzie's NPI number?

The NPI number for Timothy Mckenzie is 1760598205. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Timothy Mckenzie located?

Timothy Mckenzie practices at 151 Mystic Ave, Medford, MA 02155. The listed phone number is (781) 396-1199.

What is Timothy Mckenzie's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Timothy Mckenzie enrolled in Medicare?

Yes. Timothy Mckenzie 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 Timothy Mckenzie was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.