RUSSELL P MACKAY
NPI 1790877090
Counselor - Mental Health in Boston, MA

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
434 MASSACHUSETTS AVE STE 501, BOSTON, MA 02118(339) 666-8516(617) 807-0958 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell P Mackay NPPES

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

RUSSELL P MACKAY (NPI 1790877090) is an individual mental health provider in Boston, Massachusetts, licensed in Massachusetts (LMHC10002806) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790877090
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRUSSELL P MACKAY
Location Address434 MASSACHUSETTS AVE STE 501Boston, MA 02118-3522
Mailing Address1003 Eastgate DrProvo, UT 84606-5601 · (801) 380-3914
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1790877090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MA · LMHC10002806 Licensed in UT · 5935490-6009
434 MASSACHUSETTS AVE STE 501, Boston, MA 02118

Secondary Practice Location 1

Location 11003 Eastgate DrProvo, UT 84606-5601 · Phone (801) 380-3914

Accepted Insurance

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

Russell P Mackay 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 ID9638686694
PECOS Enrollment IDI20250725001882
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.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
434 MASSACHUSETTS AVE STE 501
BOSTON, MA 02118

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 Russell Mackay's NPI number?

The NPI number for Russell Mackay is 1790877090. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Russell Mackay located?

Russell Mackay practices at 434 Massachusetts Ave Ste 501, Boston, MA 02118. The listed phone number is (339) 666-8516.

What is Russell Mackay's specialty?

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

Is Russell Mackay enrolled in Medicare?

Yes. Russell Mackay 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.

What insurance does Russell Mackay accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Harvard Pilgrim Health Care, Molina Healthcare and Providence Health Plan and 3 other insurers list Russell Mackay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Mackay was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.