Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386374585 Individual Practitioner Female Practitioner

Dr. Mackenzie Tanner , PhD

Psychologist • Brighton, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Tanner, PhD is a registered healthcare professional specializing in Psychologist in Brighton, MI. Practice services are available at 8163 GRAND RIVER RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8163 Grand River Rd Ste 100

Brighton, MI 481149482

Telephone 8102253417
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Brighton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Brighton, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Aimee Kotrba , PhD

Psychologist - Clinical

NPI 1033328166

Doctor of Philosophy (Ph.D.)

Kira Boneff , MS

Psychologist - Clinical Child & Adolescent

NPI 1104481977

Master of Science

Dr. Jennifer Garcia , PsyD

Psychologist - Clinical

NPI 1134744832

Doctor of Psychology (Psy.D.)

Hannah Vanhoorne

Social Worker - Clinical

NPI 1154920999
Katelyn Reed , MS, TLLP

Psychologist - Clinical Child & Adolescent

NPI 1174951768

Master of Science, TLLP

Taylor Nezich

Psychologist

NPI 1386134765

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 20, 2025

Registered at 8163 GRAND RIVER RD STE 100, BRIGHTON, MI 481149482 (Tel: 8102253417)

📍
Updated Business Mailing Address July 20, 2025

Registered at 5877 STAGHORN DR, TOLEDO, OH 436144564 (Tel: 9377764995)

👤
Provider Name / Credentials Updated July 20, 2025

Recorded as MACKENZIE TANNER, PH.D.

NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2022

Registered at 424 W WOODRUFF AVE, TOLEDO, OH 436045027 (Tel: 4198417701)

📍
Updated Business Mailing Address June 13, 2022

Registered at 2005 ASHLAND AVE, TOLEDO, OH 436201703 (Tel: 4198417701)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as MACKENZIE TREVETHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Psychologist

🟢
Initial NPI Registration & Enumeration June 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386374585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2022
Last Update: July 20, 2025
Sole Proprietor: No

Mailing Address

5877 Staghorn Dr

Toledo, OH 436144564

Phone: 9377764995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.