DR. PAULA SHANTEL ALEXIS MACKEY (NPI# 1225585847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225585847 |
| Entity Type | Individual |
| Full Name | DR. PAULA SHANTEL ALEXIS MACKEY |
| Other Name | DR. SHANTEL MACKEY |
| Credential | PSY.D. |
| Practice Address |
3309 Haynes Ave Midland TX 79707-3600 |
| Mailing Address |
3309 Haynes Ave. Midland TX 79707 |
| Practice Telephone | 5125358433 |
| Practice Fax Number | 4322420982 |
| Mailing Telephone | 5125358433 |
| Mailing Fax Number | 4322420982 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36397 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453464 | Paula S Mackey | Pediatrics | 2525 Chicago Ave, Children's Primary Clinic - Mpls, Minneapolis, MN 55404-4518 | 2005-08-02 |
| Street Address |
3309 HAYNES AVE |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326212168 | Teresa Jean Lynch | Psychologist | 1717 E Sugnet Rd, Midland, MI 48642-3827 | 2008-04-14 |
| 1528251097 | Tracey M Allan | Psychologist | 211 N Saginaw Rd, Midland, MI 48640-3350 | 2007-08-19 |
| 1700086634 | Henry Chiyung Chung | Psychologist | 3115 Dawn Dr, Midland, MI 48642-4026 | 2007-07-19 |
| 1336281096 | Joseph Lloyd Tierney | Psychologist | 607 Gordon St, Midland, MI 48640 | 2007-02-12 |
| 1740370089 | Behavioral Medicine Associates of Mid Michigan PC | Psychologist | 1205 E Wackerly St, Midland, MI 48642-7035 | 2006-10-16 |
| 1063501351 | Nicole Lynn Minnis | Psychologist | 218 Fast Ice Dr, Midland, MI 48642-6167 | 2006-10-12 |
| 1871693481 | Jennifer Anne Lombardo | Psychologist | 104 W Wackerly St, Midland, MI 48640-2791 | 2006-09-24 |
| 1154338754 | Bart Eugene Barto | Psychologist | 10112 W County Road 54, Midland, TX 79707-1319 | 2006-08-03 |
| 1457321291 | Lynn Elaine Simons | Psychologist | 1108 Ashman St, Midland, MI 48640-5470 | 2006-01-24 |
| 1245889369 | Elizabeth Zimmermann | Psychologist | 720 W Wackerly St, Midland, MI 48640-2769 | 2019-09-11 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.