MEDICARE: DR. COLLEEN ERIN MCKECHNIE, PSYCHOLOGIST

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1750234266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. COLLEEN ERIN MCKECHNIE, PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	299 MAIN ST STE 7
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-1755
Country	:	US
Telephone Number	:	631-219-9047
Fax Number	:

Provider Business Practice Location Address
First Line	:	299 MAIN ST STE 7
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-1755
Country	:	US
Telephone Number	:	631-219-9047
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. COLLEEN ERIN MCKECHNIE
Credential	:	PSY.D.
Telephone Number	:	631-219-9047

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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