Provider Demographics
NPI:1558583971
Name:MCKAY, ARLENE PRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:PRICE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340W. 86TH ST.
Mailing Address - Street 2:STE. 10 A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-873-5072
Mailing Address - Fax:212-873-1857
Practice Address - Street 1:340 W. 86TH ST.
Practice Address - Street 2:STE. 10 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-873-5072
Practice Address - Fax:212-873-1857
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7812103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1263778OtherOXFORD INSURANCE
NY0515580Medicaid
NY0515580Medicaid