DR. GORDON E. MACKINNON PH. D.
NPI 1811086697
Psychologist - Clinical in Southfield, MI

Q: What is Gordon Mackinnon's NPI number?

The NPI number for Gordon Mackinnon is 1811086697. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Gordon Mackinnon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Mackinnon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

17336 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076(248) 583-9362(248) 879-6774 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gordon E. Mackinnon Ph. D. NPPES

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

DR. GORDON E. MACKINNON PH. D. (NPI 1811086697) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6301006861) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1811086697

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GORDON E. MACKINNONCredential: PH. D.

Location Address17336 W 12 MILE RD STE 101Southfield, MI 48076-2113

Mailing Address17336 W 12 Mile Rd Ste 101Southfield, MI 48076-2113 · (248) 583-9362 · Fax (248) 879-6774

Phone(248) 583-9362

Fax(248) 879-6774

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811086697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301006861

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

17336 W 12 MILE RD STE 101, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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. Gordon E. Mackinnon Ph. D. 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 ID7214020650

PECOS Enrollment IDI20080626000191

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 2

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.

1,036 services65 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. THERESA I EGAN PHD

Psychologist (Clinical)

17336 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076

Oakland County (586) 610-4006

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 Gordon Mackinnon's NPI number?

The NPI number for Gordon Mackinnon is 1811086697. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Gordon Mackinnon located?

Gordon Mackinnon practices at 17336 W 12 Mile Rd Ste 101, Southfield, MI 48076. The listed phone number is (248) 583-9362.

What is Gordon Mackinnon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gordon Mackinnon enrolled in Medicare?

Yes. Gordon 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.

What insurance does Gordon Mackinnon accept?

Health plans from Priority Health list Gordon Mackinnon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Mackinnon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.