OrganizationActive
Mack B. Stephenson, PH.D., Chtd
NPI 1093860561 · Psychologist · Meridian, ID
Mack B. Stephenson, PH.D., Chtd is a Psychologist organization in Meridian, ID (NPI 1093860561).
Provider details
- NPI number
- 1093860561
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mack Stephenson, President(208) 288-0692
- License
- PSY-202056 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
78 Sw 5th Ave
Suite 2
Meridian, ID 83642-2923
Phone: (208) 288-0692
Fax: (208) 288-0467
Street-level locationGet directions
Mailing address
78 Sw 5th Ave
Meridian, ID 83642-2923
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mack B. Stephenson, PH.D., Chtd's NPI number?
- Mack B. Stephenson, PH.D., Chtd's National Provider Identifier (NPI) is 1093860561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mack B. Stephenson, PH.D., Chtd?
- Mack B. Stephenson, PH.D., Chtd is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mack B. Stephenson, PH.D., Chtd located?
- Mack B. Stephenson, PH.D., Chtd's practice location on file with NPPES is 78 Sw 5th Ave, Meridian, ID 83642-2923.
- What is Mack B. Stephenson, PH.D., Chtd's phone number?
- The practice phone number listed in the NPPES registry for Mack B. Stephenson, PH.D., Chtd is (208) 288-0692.
- Who is the authorized official for Mack B. Stephenson, PH.D., Chtd?
- The authorized official listed on Mack B. Stephenson, PH.D., Chtd's NPPES record is Mack Stephenson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mack B. Stephenson, PH.D., Chtd's NPI active?
- Yes — Mack B. Stephenson, PH.D., Chtd's NPI (1093860561) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.