Mack Asset Management Group LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MACK ASSET MANAGEMENT GROUP LLC

Practice address

1164 Nadene Dr
Marysville, CA 95901-3522

Phone

(707) 908-7636

NPI assigned

Sep 16, 2026

Organization subpart

No

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

Authorized official

Name

Tiana Mack

Title

Director

Phone

(707) 908-7636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1285545301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 GLENMORE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335169",
            "telephone_number": "209-922-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 NADENE DR",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959013522",
            "telephone_number": "707-908-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK ASSET MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-908-7636"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinna Luddington
• Gordon Andrew Macbeth, M.D.
• Jason Macgregor, EMT-B
• Nathan Eugene Macgregor
• Jisselth N/a Machuca
• Claire Catharine Macy, RN, PHN
• Matthew William Madaus, LCSW
• Robert Lee Majors, MFCC
• Nicole Carl Manjarrez
• Heather Manley

• Mental Illness Community Based Residential Treatment Facility in Marysville, CA
• Providers in Marysville, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.