DR. JESSICA ERIN MACKINNON (PH.D) – Clinical Psychologist, NPI 1942668793

DR. JESSICA ERIN MACKINNON (PH.D) is a healthcare provider. based in Port townsend, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D. They hold a License No. PY 60600263 (WA). The NPI Number for DR. JESSICA ERIN MACKINNON (PH.D) is 1942668793

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA ERIN MACKINNON (PH.D)
NPI
1942668793
Phone
(360) 385-0321
Address
884 W PARK AVE
Enumeration Date
8 February 2016
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603850321
Graduation Year
2010 (16 years ago)
PAC ID
5395044838
Group Practice PAC ID
6103715081
Professional Enrollment ID
I20160620000636
Address ID
WA983682273PO884XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for DR. JESSICA ERIN MACKINNON (PH.D)

  • 884, West Park Avenue, Business Park, Port Townsend, Jefferson County, Washington, 98368, United States

    PORT TOWNSEND, WA 983682273

    Phone: (360) 385-0321

    Fax: (360) 379-5534

    Type: Location

  • PO BOX 565

    PORT TOWNSEND, WA 983680565

    Phone: (360) 385-0321

    Fax: (360) 385-3944

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160620000636IClinical PsychologistWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8641$0
90837Psychotherapy, 1 hour8536$0
View full utilization report →

Insurance plans in this area (ZIP 98368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103715081View full group profile
NameSpecialtyState
-WA
Clinical Social WorkerWA
Nurse PractitionerWA
Mental Health CounselorWA
Mental Health CounselorWA
Nurse PractitionerWI
Nurse PractitionerWA
Clinical Social WorkerWA
Nurse PractitionerWA
Mental Health CounselorCA

Reviews

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Frequently asked questions

Can I cross-check DR. JESSICA ERIN MACKINNON (PH.D) using NPI 1942668793?
NPI 1942668793 belongs to DR. JESSICA ERIN MACKINNON (PH.D); compare other details if you need extra assurance.
Is there an active status for DR. JESSICA ERIN MACKINNON (PH.D)?
For scheduling context, DR. JESSICA ERIN MACKINNON (PH.D) is shown as active in the registry.
How would a patient describe DR. JESSICA ERIN MACKINNON (PH.D)'s focus?
For DR. JESSICA ERIN MACKINNON (PH.D), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Washington is DR. JESSICA ERIN MACKINNON (PH.D) registered?
Use Port Townsend, Washington as the headline location for DR. JESSICA ERIN MACKINNON (PH.D) here.
Does DR. JESSICA ERIN MACKINNON (PH.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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