Amanda O'Neil Mackinnon, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5584 Issued in MT

Practice address

425 Smelter Ave NE
Great Falls, MT 59404-1927

Phone

(406) 247-7130

NPI assigned

Mar 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, TX2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Little Shell Tribe of Chippewa Indians of Montana

  • Clinic/Center
  • Great Falls, MT
  • NPI 1649970526

  TX

  Medicare reassignment
• Little Shell Tribe of Chippewa Indians of Montana

  • Pharmacy
  • Great Falls, MT
  • NPI 1750260477
  NPD
• US Dept of Health & Human Services-Division of Indian Health

  • Clinic/Center
  • Great Falls, MT
  • NPI 1346900529
  NPD

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1861633729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CENTRAL AVE W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042848",
            "telephone_number": "406-247-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SMELTER AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041927",
            "telephone_number": "406-247-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "AMANDA",
        "middle_name": "O'NEIL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22582",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "5584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moses Russel Macarthur, LAC
• Robyn M Maccallum-Bush, RN
• Alexis Rae Macdiarmid, LAC
• Meagan Renae Macdonald, LAT/ATC
• Lisa A Machuga, PTA
• James M Macnutt, DO
• Justin Madill
• Christian G Madson
• Victoria Maged, MD
• John W Mahan III, MD

• Psychologist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.