MACK B. STEPHENSON, PH.D., CHTD
NPI 1093860561
Psychologist in Meridian, ID

Active since January 24, 2007
78 SW 5TH AVE, SUITE 2, MERIDIAN, ID 83642(208) 288-0692(208) 288-0467 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mack B. Stephenson, Ph.d., Chtd NPPES

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

MACK B. STEPHENSON, PH.D., CHTD (NPI 1093860561) is a healthcare organization registered as a psychologist in Meridian, Idaho and active in the NPI registry since January 2007. The organization lists Mack B. Stephenson, President, as its authorized official.

NPPES Registry Identity

NPI1093860561
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMACK B. STEPHENSON, PH.D., CHTD
Location Address78 SW 5TH AVE, SUITE 2Meridian, ID 83642-2923
Mailing Address78 Sw 5th Ave, Suite 2Meridian, ID 83642-2923 · (208) 288-0692 · Fax (208) 288-0467
Fax(208) 288-0467
Organization SubpartNo
Authorized OfficialMack B. StephensonPresident · (208) 288-0692
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1093860561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · PSY-202056
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.
78 SW 5TH AVE, Meridian, ID 83642

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
78 SW 5TH AVE, SUITE 2
MERIDIAN, ID 83642

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 Mack B. Stephenson, Ph.D., Chtd's NPI number?

The NPI number for Mack B. Stephenson, Ph.D., Chtd is 1093860561. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Mack B. Stephenson, Ph.D., Chtd located?

Mack B. Stephenson, Ph.D., Chtd is located at 78 SW 5th Ave Suite 2, Meridian, ID 83642. The listed phone number is (208) 288-0692.

What is Mack B. Stephenson, Ph.D., Chtd's specialty?

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

When was this NPI record last updated?

The NPPES record for Mack B. Stephenson, Ph.D., Chtd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.