DR. JOHN ROSS MACKINNON (NPI# 1972689065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972689065 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROSS MACKINNON |
| Credential | PH.D. |
| Practice Address |
567 Vauxhall Street Ext Ste 323 Waterford CT 06385-4341 |
| Practice Telephone | 8604479274 |
| Practice Fax Number | 8604479900 |
| Mailing Telephone | 8604479274 |
| Mailing Fax Number | 8604479900 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
000771 | CT | Behavioral Health & Social Service Providers |
| Street Address |
567 VAUXHALL STREET EXT STE 323 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004753 | Cynthia D Sorenson | Psychologist | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054698 | American Center for Cognitive Behavioral Training and Treatment,llc | Psychologist | 351 Pitkin St Fl 17, East Hartford, CT 06108-6221 | 2020-02-12 |
| 1528555877 | Kinder Behavioral Health LLC | Psychologist | 37 Crane St, Fairfield, CT 06825-4316 | 2018-04-21 |
| 1396263166 | Charles D Gore Jr. | Psychologist | 87 Turkey Hill Rd S, Westport, CT 06880-6312 | 2017-08-31 |
| 1417472754 | Jamsine Ramirez | Psychologist | 208 Derby Ave, Orange, CT 06477-1317 | 2017-08-08 |
| 1710244017 | Mark Spellmann | Psychologist | 119 Ball Pond Rd, New Fairfield, CT 06812-4536 | 2012-04-12 |
| 1043547763 | Kim Marie O'donnell | Psychologist | 142 Elm St, Cheshire, CT 06410-2808 | 2009-11-17 |
| 1679740468 | Mary Megan Mccarron | Psychologist | 597 Naugatuck Ave, Cccd Academy, Milford, CT 06461-4060 | 2008-05-12 |
| 1043495310 | Leonard Louis Wysocki | Psychologist | 49 Finley Hill Rd, Marlborough, CT 06447-1003 | 2008-01-07 |
| 1023291499 | Annalise Lawler Caron | Psychologist | 1720 Post Rd E Ste 223, Westport, CT 06880-5643 | 2007-12-08 |
| 1235269721 | Bina Roginsky | Psychologist | 21 Hazel Ter, Suite B, Woodbridge, CT 06525-2209 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.