DR. STARR ELISABETH MACKINNON PHD
NPI 1043403850
Psychologist in San Diego, CA

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
411 CAMINO DEL RIO S STE 304, SAN DIEGO, CA 92108(619) 885-5050 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Starr Elisabeth Mackinnon Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STARR ELISABETH MACKINNON PHD (NPI 1043403850) is an individual psychologist in San Diego, California, licensed in California (PSY27021) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043403850
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STARR ELISABETH MACKINNONCredential: PHD
Location Address411 CAMINO DEL RIO S STE 304San Diego, CA 92108-3551
Mailing Address411 Camino Del Rio S Ste 304San Diego, CA 92108-3551 · (619) 885-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 24, 2007
Last NPPES UpdateOctober 9, 2018
NPI 1043403850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY27021
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License RC00049710 (WA)
411 CAMINO DEL RIO S STE 304, San Diego, CA 92108

Secondary Practice Location 1

Location 11600 E Olive StSeattle, WA 98122-2735 · Phone (206) 302-2200 · Fax (206) 302-2210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Starr Elisabeth Mackinnon Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446514251
PECOS Enrollment IDI20180502002645
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
370 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
411 CAMINO DEL RIO S STE 304
SAN DIEGO, CA 92108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Starr Mackinnon's NPI number?

The NPI number for Starr Mackinnon is 1043403850. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Starr Mackinnon located?

Starr Mackinnon practices at 411 Camino Del Rio S Ste 304, San Diego, CA 92108. The listed phone number is (619) 885-5050.

What is Starr Mackinnon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Starr Mackinnon enrolled in Medicare?

Yes. Starr Mackinnon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Starr Mackinnon was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.