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NPI Code Detail

MEDICARE: MACKENZIE THOMPSON

MEDICARE: MACKENZIE THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1134920978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE THOMPSON
Provider Business Mailing Address
First Line : 20 LONGBOW RD
Second Line :
City : DANVERS
State : MA
Zip : 01923-1637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 ELM SQ STE 204
Second Line :
City : ANDOVER
State : MA
Zip : 01810-3671
Country : US
Telephone Number : 978-219-9865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 02/05/2026

Similar Medicare Providers

1194542183 — JOSEPH GINSBURG
Practice Location Address:
2 ELM SQ STE 204
ANDOVER, MA
01810-3671
Practice Phone: 781-307-0098
Practice Fax:
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Practice Fax:
1811990682 — DR. MARK BARRY ABELSON M.D.
Practice Location Address:
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ANDOVER, MA
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Practice Fax: 978-475-0008
1710985882 — DR. ROBERT PETER NELKEN M.D.
Practice Location Address:
140 HAVERHILL ST
ANDOVER, MA
01810-1504
Practice Phone: 978-475-4522
Practice Fax: 978-475-6531
1336147214 — DR. KATHLEEN FERGUSON DEVANEY M.D.
Practice Location Address:
140 HAVERHILL ST
ANDOVER, MA
01810-1504
Practice Phone: 978-475-4522
Practice Fax: 978-475-6531
1659379659 — PROF. MARY ANN WILMARTH PT, DPT
Practice Location Address:
10 NOLLET DR
ANDOVER, MA
01810-6312
Practice Phone: 978-682-8802
Practice Fax: 978-682-8813

Directions to “ MACKENZIE THOMPSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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