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MICHAEL WILLIAM VINCENT MACKIE PH.D
NPI 1851881379
Psychologist - Clinical in Los Angeles, CA

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
10700 SANTA MONICA BLVD STE 300, LOS ANGELES, CA 90025(424) 465-2840 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2018, May 10, 2018 (2 updates tracked since 2018).

About Michael William Vincent Mackie Ph.d NPPES

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

MICHAEL WILLIAM VINCENT MACKIE PH.D (NPI 1851881379) is an individual clinical provider in Los Angeles, California, licensed in California (PSY30000) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851881379
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL WILLIAM VINCENT MACKIECredential: PH.D
Location Address10700 SANTA MONICA BLVD STE 300Los Angeles, CA 90025-6587
Mailing Address10700 Santa Monica Blvd Ste 300Los Angeles, CA 90025-6587
Phone(424) 465-2840
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2018
Last NPPES UpdateDecember 29, 20232 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
✔ NPI 1851881379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY30000
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.
10700 SANTA MONICA BLVD STE 300, Los Angeles, CA 90025
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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

Michael William Vincent Mackie 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 ID3476807322
PECOS Enrollment IDI20181113002652
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 3

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.
394 services39 patients
Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
77 services17 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 14

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

HALEH EGHRARI PSYCHOLOGY INC
Psychologist
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 441-9550
DR. VIDA NIKZAD PSYD
Psychologist
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 804-6118
MICHAEL W MACKIE PHD A PROFESSIONAL CORP
Psychologist (Forensic)
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (424) 465-2840
JONATHAN DAVID SCHMIDT MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORP
Marriage & Family Therapist
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 383-4259
MONICA BRAUTOVICH MSW
Social Worker (Clinical)
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 699-1326
DR. ELAINE D. CHAISSON PH.D.
Psychologist
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 659-3823
DR. HALEH EGHRARI PH.D.
Psychologist (Clinical)
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (310) 441-9550
ANDREA MCLAUGHLIN LMFT
Marriage & Family Therapist
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025
Los Angeles County (646) 283-8321

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 Michael Mackie's NPI number?

The NPI number for Michael Mackie is 1851881379. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Michael Mackie located?

Michael Mackie practices at 10700 Santa Monica Blvd Ste 300, Los Angeles, CA 90025. The listed phone number is (424) 465-2840.

What is Michael Mackie's specialty?

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

Is Michael Mackie enrolled in Medicare?

Yes. Michael Mackie 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 Michael Mackie was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.