Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Marie Mackenzie, PHD

Individual provider Clinical Psychologist · NPI 1043831100

Kelly Marie Mackenzie, PHD is a Clinical Psychologist in Trenton, New Jersey. Qualified in 2021, 5 years ago. Practices with Capital Health Medical Group, a 438-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

832 Brunswick Ave
Trenton, NJ 08638-3847
Phone: (609) 815-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Geisinger Medical Center 100 North Academy Avenue, Danville, PA 17822-0001 — (570) 271-6211

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00780000 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 390200000X (PA)

Record details

NPI number1043831100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capital Health Medical Group — 438 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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