SELENE M MACKINNON (PSY.D.) – Clinical Psychologist, NPI 1396889226
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
253 CLINICAL PSYCHOLOGIST in RI
Provider Addresses for SELENE M MACKINNON (PSY.D.)
1130 Ten Rod Rd
Suite E305
North Kingstown, RI 028524161
Phone: (401) 294-0451
Fax: (401) 294-0461
Type: Location
60 WHALEN DR
NORTH ATTLEBORO, MA 027604521
Phone: (508) 695-2941
Type: Mailing
115 MAIN ST STE 1A-C2D
NORTH EASTON, MA 023561468
Phone: (781) 551-0999
Type: Location
1130 TEN ROD RD
SUITE E305
NORTH KINGSTOWN, RI 028524161
Phone: (401) 294-0451
Fax: (401) 294-0461
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100706000423 | I | Clinical Psychologist | RI | TBD |
| I20240620002708 | I | Clinical Psychologist | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| Clinical Psychologist | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Clinical Social Worker | MA |
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