Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam J Mackenzie, PHD

Individual provider Counseling Psychologist · NPI 1700660958

Adam J Mackenzie, PHD is a Clinical Psychologist in Boise, Idaho. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

671 E Riverpark Ln Ste 220
Boise, ID 83706-6559
Phone: (208) 344-2071
Fax: (208) 344-2075
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 1171360 (ID)

Record details

NPI number1700660958
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 21, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address671 E Riverpark Ln Ste 220, Boise, ID 83706-6559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Boise