KAILA NORMAN MACK PH.D. NPI 1255677969

NPI Information

NPI: 1255677969
Provider Name: KAILA NORMAN MACK, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
151 MERRIMAC ST FL 3
CHILD CBT PROGRAM AT MGH
BOSTON, MA
ZIP 02114
Phone: (617) 724-4913
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Kaila Norman Mack, PH.D. is a cognitive and behavioral psychologist in Boston, MA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Kaila Norman Mack, PH.D. NPI is 1255677969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 MERRIMAC ST FL 3
CHILD CBT PROGRAM AT MGH
BOSTON, MA
ZIP 02114-714
Phone: (617) 724-4913

The NPI 1255677969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/27/2012 and was last updated on 3/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	10244	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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