Organization Active NPI

D. Mack Consulting LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Panama City, FL
National Provider Identifier
1134724263
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
D. MACK CONSULTING LLC
Practice address
1614 Lincoln Ave
Panama City, FL 32405-3148
Phone
(850) 774-5832
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Mr. Darrien Denard Mack, RBT-20-117604NPI 1285268664
Title
Registered Behavior Technician
Phone
(850) 774-5832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1614 Lincoln Ave
Panama City, FL 32405-3148

Mailing address

1614 Lincoln Ave
Panama City, FL 32405-3148
Phone (850) 774-5832

Other names 1

  • D. Mack Consulting LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1134724263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 LINCOLN AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053148",
            "telephone_number": "850-774-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 LINCOLN AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053148",
            "telephone_number": "850-774-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. MACK CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DARRIEN",
        "authorized_official_middle_name": "DENARD",
        "authorized_official_title_or_position": "REGISTERED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "850-774-5832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RBT-20-117604"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D. Mack Consulting LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.