| Mackay Behavioral Health Services | |
|
8000 Jumpers Hole Rd Ste 217 Pasadena MD 21122-1046 | |
| (240) 883-4025 | |
| Not Available |
| Full Name | Mackay Behavioral Health Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8000 Jumpers Hole Rd Ste 217, Pasadena, Maryland |
| Authorized Official Name and Position | Angela Mackay (PRESIDENT) |
| Authorized Official Contact | 2408834025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackay Behavioral Health Services 8000 Jumpers Hole Rd Ste 217 Pasadena MD 21122-1046 Ph: (240) 883-4025 | Mackay Behavioral Health Services 8000 Jumpers Hole Rd Ste 217 Pasadena MD 21122-1046 Ph: (240) 883-4025 |
| NPI Number | 1427723931 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 7911396890 |
|---|---|
| Medicare Enrollment ID | O20211115002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427723931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela Mackay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720655053 PECOS PAC ID: 8820487705 Enrollment ID: I20211115002330 |
| Provider Name | Abdul Ceesay Doza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922796416 PECOS PAC ID: 8628435716 Enrollment ID: I20230605003051 |
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