MACK B. STEPHENSON (NPI# 1467676254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467676254 |
| Entity Type | Individual |
| Full Name | MACK B. STEPHENSON |
| Credential | PH.D. |
| Practice Address |
78 Sw 5th Ave Suite 2 Meridian ID 83642-2923 |
| Practice Telephone | 2082880692 |
| Practice Fax Number | 2082880467 |
| Mailing Telephone | 2082880692 |
| Mailing Fax Number | 2082880467 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY-202056 | ID | Behavioral Health & Social Service Providers |
| Street Address |
78 SW 5TH AVE SUITE 2 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093860561 | Mack B. Stephenson, Ph.d., Chtd | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326380197 | Jeffrey Schloemer | Psychologist | 1530 W Ann Taylor St, Apt G102, Meridian, ID 83646-4005 | 2013-03-20 |
| 1336335546 | Psychology Associates, LLC | Psychologist | 5004 Hwy 39 N, Meridian, MS 39301-1021 | 2007-09-20 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1093860561 | Mack B. Stephenson, Ph.d., Chtd | Psychologist | 78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923 | 2007-01-24 |
| 1144305749 | Barney Greenspan | Psychologist | 1302 E Green Haven St, Meridian, ID 83646-5935 | 2006-10-25 |
| 1992326599 | Lynn Laird | Psychologist | 3120 W Belltower Dr Ste 175, Meridian, ID 83646-6000 | 2020-05-05 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1053689356 | Ryan J Hulbert | Psychologist | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2011-12-01 |
| 1437219227 | Psychology Services of Idaho, Pllc | Psychologist | 2365 E Gala St, Suite #2, Meridian, ID 83642-4881 | 2006-12-11 |
| 1386657914 | Michelle Denise Boucher-snodgrass | Psychologist | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-08-14 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.