Provider Demographics
NPI:1265174023
Name:UMBARGER-MACKEY, MICHELLE LYNN (PHD, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNN
Last Name:UMBARGER-MACKEY
Suffix:
Gender:F
Credentials:PHD, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 COLLINS RD NE STE 205
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3167
Mailing Address - Country:US
Mailing Address - Phone:319-320-7506
Mailing Address - Fax:319-320-7506
Practice Address - Street 1:373 COLLINS RD NE STE 205
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3167
Practice Address - Country:US
Practice Address - Phone:319-320-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG158787363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health