Adam J Mackenzie, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1171360 Issued in ID

Practice address

671 E Riverpark LN Ste 220
Boise, ID 83706-6559

Phone

(208) 344-2071

Fax

(208) 344-2075

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospitals Hospital, Minot, ND, CCN 350006

Merit-based Incentive Payment System (MIPS)

Final score

81.05 of 100Reported as group

Quality

60.57

Promoting interoperability

98

Improvement activities

40

Cost

77.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trinity Hospitals

  • Air Ambulance
  • Minot, ND
  • NPI 1053502773

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Land Ambulance
  • Minot, ND
  • NPI 1134310857

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1427103910
  Care Compare affiliation
• Trinity Hospitals

  • Substance Abuse Rehabilitation Facility
  • Minot, ND
  • NPI 1457539660

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Minot, ND
  • NPI 1487804092
  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1932359544
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1700660958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-344-2071",
            "fax_number": "208-344-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-344-2071",
            "fax_number": "208-344-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "1171360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julane Machado
• Joseph Machtinger, PMHNP-BC
• Charisse L Mack, PA
• Gordon K Mack, MD
• Kimball Gray Mack, DMD
• Debra Mackenzie
• Joshua J Mackie, CRNA
• Cassandra Natasha Mackiewicz, IBCLC
• Sharon J. Macner, AU.D.
• Kathryn Elizabeth Macomb, M.P.T.

• Counseling Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.