Individual provider · Type 1 NPI

Theresa Ann McKenna, PhD

Psychologist · Port Jefferson, NY

NPI number 1568463560 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Call (631) 474-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X013779 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1568463560

Theresa Ann McKenna, PhD's National Provider Identifier is 1568463560, issued on Aug 2, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 13, 2026.