Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gordon E. Mackinnon, PHD

Individual provider Clinical Psychologist · NPI 1811086697

Dr. Gordon E. Mackinnon, PHD is a Clinical Psychologist in Southfield, Michigan. Qualified in 1997, 29 years ago. Practices with United Psychological Services Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

17336 W 12 Mile Rd Ste 101
Southfield, MI 48076-2113
Phone: (248) 583-9362
Fax: (248) 879-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301006861 (MI)

Record details

NPI number1811086697
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice United Psychological Services Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southfield