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GREGORY I. MACK PH.D.:CLINICAL POLICE & FORENSIC PSYCH SVS PLLC NPI 1316487259


NPI Information

NPI: 1316487259
Provider Name: GREGORY I. MACK, PH.D.:CLINICAL, POLICE & FORENSIC PSYCH SVS PLLC

Other Name: CLINICAL, POLICE & FORENSIC PSYCHOLOGICAL SERVICES PLLC

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
345 KEAR ST
SUITE 202
YORKTOWN HEIGHTS, NY
ZIP 10598
Phone: (845) 282-3367
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GREGORY I. MACK, PH.D.:CLINICAL, POLICE & FORENSIC PSYCH SVS PLLC is a clinical psychologist in Yorktown Heights, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GREGORY I. MACK, PH.D.:CLINICAL, POLICE & FORENSIC PSYCH SVS PLLC NPI is 1316487259. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clinical, Police & Forensic Psychological Services Pllc.

The provider's business location address is:

345 KEAR ST
SUITE 202
YORKTOWN HEIGHTS, NY
ZIP 10598-425
Phone: (845) 282-3367
Fax: (914) 743-1613

The provider's authorized official is Gregory Irving Mack .
The authorized official title is Owner and has the following contact phone number (845) 282-3367.

The enumeration date for this NPI number is 2/25/2017 and was last updated on 2/25/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)016597NEW YORKNo
2103TB0200XPsychologistCognitive & Behavioral016597NEW YORKNo
3103TC0700XPsychologistClinical016597NEW YORKYes
4103TF0200XPsychologistForensic016597NEW YORKNo
5103TP2701XPsychologistGroup Psychotherapy016597NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103577942MEDICAIDNEW YORK

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

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