IndividualActive
John Mackinnon, PH.D.
NPI 1972689065 · Cognitive & Behavioral Psychologist · Waterford, CT
Provider details
- NPI number
- 1972689065
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000771 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
567 Vauxhall Street Ext Ste 323
Waterford, CT 06385-4341
Phone: (860) 447-9274
Fax: (860) 447-9900
Approximate (ZIP-level) locationGet directions
Mailing address
567 Vauxhall Street Ext Ste 323
Waterford, CT 06385-4341
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.