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

Mack B. Stephenson, PHD

Individual provider Psychologist · NPI 1467676254

Mack B. Stephenson, PHD is a Psychologist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

78 SW 5th Ave Ste 2
Meridian, ID 83642-2923
Phone: (208) 288-0692
Fax: (208) 288-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY-202056 (ID)

Record details

NPI number1467676254
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address78 Sw 5th Ave, Suite 2, Meridian, ID 83642-2923

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