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

Individual provider Psychologist · NPI 1568463560

Theresa Ann McKenna, PHD is a Clinical Psychologist in Port Jefferson, New York. Qualified in 1998, 28 years ago. Practices with St Charles Hospital Corp, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2005
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

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 013779 (NY)

Record details

NPI number1568463560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Charles Hospital Corp — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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