Gordon E. Mackinnon, PH. D.
Clinical Psychologist · Southfield, MI
Gordon E. Mackinnon, PH. D. is a clinical psychologist with a practice address in Southfield, Michigan, and NPI 1811086697, issued on Oct 12, 2006. Check the license (Michigan 6301006861, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Gordon E. Mackinnon
- Credential
- PH. D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 6301006861 MI
Self-reported in NPPES; status is on the state search - Practice location
- 17336 W 12 Mile RD Ste 101, Southfield, MI 48076
- Phone
- (248) 583-9362
- Enumerated
- Oct 12, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (248) 879-6774
- Medicare enrollment
- Enrolled (PECOS I20080626000191); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 2,965 in Michigan → Look up another NPI →
Also registered at 17336 W 12 Mile RD Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Theresa Egan, PHDClinical Psychologist1790888352
Verify Gordon E. Mackinnon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6301006861Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- United Psychological Services IncShelby Township, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gordon E. Mackinnon among 2,965 clinical psychologist records in Michigan
Gordon E. Mackinnon, PH. D. is one of 2,965 clinical psychologist records with a practice address in Michigan. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 79% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated1997 · median 2005 among the 697 with a school on file
- Record last updated2007 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
76 clinical psychologist records list a practice address in Southfield
They are 76 of the 5,689 NPPES records with a practice address in Southfield, and 2,965 clinical psychologist records in Michigan.
All 2,965 in Michigan → Every provider in Southfield → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Sarah Barnum, PH.D.Southfield, MI 480761528387818
- Tiffany Boards, PSY.D LLPSouthfield, MI 480761154619161
- Kathy Chen, PSYD, LPSouthfield, MI 480761811339534
- Juanita Doss, PHDSouthfield, MI 480761063579373
- Noemi Ebenstein, PHDSouthfield, MI 480761073667531
- Theresa Egan, PHDSouthfield, MI 480761790888352
- La-Toya Gaines, PSY.D. L.P.Southfield, MI 480761356678320
- Ruth Hiner, PSYSSouthfield, MI 480761780988568
Common questions
What is Gordon E. Mackinnon, PH. D.'s NPI number?
Gordon E. Mackinnon, PH. D.'s National Provider Identifier (NPI) is 1811086697, issued on Oct 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gordon E. Mackinnon, PH. D. located?
The NPPES record lists a practice address at 17336 W 12 Mile RD Ste 101, Southfield, MI, 48076. Phone: (248) 583-9362. Providers update this record themselves, so call before visiting.
How can I verify Gordon E. Mackinnon, PH. D.'s license?
NPPES lists Michigan license number 6301006861, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.