Active NPIIndividual provider

Selene M Mackinnon, PSYD

Psychologist, Clinical in North Easton, Massachusetts

NPI Number1396889226
Practice location
115 Main St Ste 1A-C2D, North Easton, MA 02356-1468
Fax
—
Last updated
May 15, 2024

Selene M Mackinnon is a Psychologist, Clinical based in North Easton, MA. Selene M Mackinnon practices in North Easton, MA and has the professional credentials of PSYD. The NPI Number for Selene M Mackinnon is 1396889226 and holds a License No. PS00730 (RI). The current practice location address for Selene M Mackinnon is 115 Main St Ste 1A-C2D, North Easton, MA 02356-1468 and can be reached out via phone at 781-551-0999.

Provider Profile Details

NPI Number
1396889226
Provider Name
Selene M Mackinnon
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
115 Main St Ste 1A-C2D, North Easton, MA 02356-1468
Phone Number
781-551-0999
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
February 16, 2007
Last Update Date
May 15, 2024
Certification Date
May 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Main St Ste 1A-C2D
North Easton, MA 02356-1468
Zip
02356-1468
Phone Number
781-551-0999
North Easton, MA 02356Get directions →

Provider Business Mailing Address Details

Address
60 Whalen Dr
North Attleboro, MA 02760-4521
City
North Attleboro
State
MA
Zip
02760-4521
Phone Number
508-695-2941

License Information

License Number (1)
PS00730
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PSY11838
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Selene M Mackinnon, PSYD?

The NPI number of Selene M Mackinnon, PSYD is 1396889226. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Selene M Mackinnon, PSYD?

Selene M Mackinnon, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS00730.

Where does Selene M Mackinnon, PSYD practice?

The practice location is 115 Main St Ste 1A-C2D, North Easton, MA 02356-1468. The office can be reached at 781-551-0999 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396889226 directly on the NPPES registry website.

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