DR. LORETTA KAY MCKENZIE PSY.D.
NPI 1922108885
Psychologist - Clinical in Springfield, IL

Active since September 22, 2006Opted out of Medicare · through Oct 27, 2027
2325 W WHITE OAKS DR, SUITE C, SPRINGFIELD, IL 62704(217) 793-3949(217) 793-3995 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Loretta Kay Mckenzie Psy.d. NPPES

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

DR. LORETTA KAY MCKENZIE PSY.D. (NPI 1922108885) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (071-006007) and active in the NPI registry since September 2006. She has opted out of Medicare through October 27, 2027 and is a graduate of Other (1998).

NPPES Registry Identity

NPI1922108885
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LORETTA KAY MCKENZIECredential: PSY.D.
Location Address2325 W WHITE OAKS DR, SUITE CSpringfield, IL 62704-7419
Mailing Address2325 W White Oaks Dr, Suite CSpringfield, IL 62704-7419 · (217) 793-3949 · Fax (217) 793-3995
Fax(217) 793-3995
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 9, 2009
NPI 1922108885 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 IL · 071-006007
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.
2325 W WHITE OAKS DR, Springfield, IL 62704

Other Identifiers 5

Medicare UPINK17757IL
Other108270Health Alliance
Other8432104IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified209970IL · Group Number
Other722281Healthlink

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Loretta Kay Mckenzie Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2025 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2025
Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
107 services12 patients

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
2325 W WHITE OAKS DR
SPRINGFIELD, IL 62704
Counselor (Professional)
2325 W WHITE OAKS DR
SPRINGFIELD, IL 62704
Psychologist (Clinical)
2325 W WHITE OAKS DR, SUITE C
SPRINGFIELD, IL 62704
Psychologist (Clinical)
2325 W WHITE OAKS DR
SPRINGFIELD, IL 62704
Psychologist (Clinical)
2325 W WHITE OAKS DR, SUITE C
SPRINGFIELD, IL 62704

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 Loretta Mckenzie's NPI number?

The NPI number for Loretta Mckenzie is 1922108885. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Loretta Mckenzie located?

Loretta Mckenzie practices at 2325 W White Oaks Dr Suite C, Springfield, IL 62704. The listed phone number is (217) 793-3949.

What is Loretta Mckenzie's specialty?

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

Is Loretta Mckenzie enrolled in Medicare?

No. Loretta Mckenzie has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Loretta Mckenzie was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.