NPI age
19 years
Enumerated 2007-02-02
● Active
Type 1 · Individual
Philip N MacKinnon, PH D
MacKinnon is 1 of 8 psychologist providers in Lewiston and 1 of 196 in Idaho.
Primary specialty
Psychologist
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 196 active psychologist providers in Idaho.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
415 6th St
Lewiston, ID 835012431
Mailing address
415 6th St
Lewiston, ID 835012431
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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8373920 | |
| 01 (ID) | N5905 | BLUE CROSS OF IDAHO IND |
| 01 (WA) | 0215850 | DEPT OF LABOR AND INDUSTR |
| 01 (ID) | 10016370 | REGENCE OF IDAHO |
Practice context
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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