NPI age
19 years
Enumerated 2007-01-24
● Active Type 2 · Organization
MacK B. Stephenson, Ph.d., Chtd
MacK B. Stephenson, Ph.d., Chtd is 1 of 196 psychologist organizations in Idaho.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephenson
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 196 active psychologist providers in Idaho.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
78 Sw 5th Ave, Suite 2
Meridian, ID 836422923
Mailing address
78 Sw 5th Ave, Suite 2
Meridian, ID 836422923
Authorized official
MacK B. Stephenson, PH.D.
President
📞 2082880692
Individual providers at this organization
1 individual provider on file at this primary practice address.
- MacK Stephenson, PH.D. Psychologist NPI 1467676254
Specialties
-
Psychologist PrimaryA 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,...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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