Michael W Mackie PHD A Professional Corp
NPI 1174385892ActiveOrganization· Psychologist, Forensic· Los Angeles, CA
Psychologist, Forensic in Los Angeles, California, registered in NPPES in January 2024. The authorized official on file is Michael William Vincent Mackie, PHD, Owner Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174385892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2024 |
| Last updated in NPPES | Jan 29, 2024 |
| Certified by provider | Jan 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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