Gregory I. Mack, PH.D.:Clinical, Police & Forensic Psych SVS PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016597 Issued in NY

Legal business name

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

Practice address

345 Kear St
Suite 202
Yorktown Heights, NY 10598-4425

Phone

(845) 282-3367

Fax

(914) 743-1613

NPI assigned

Feb 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Irving Mack, PH.D.NPI 1669523106

Title

Owner

Phone

(845) 282-3367

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• CLINICAL, POLICE & FORENSIC PSYCHOLOGICAL SERVICES PLLC Other name

Locations

Practitioners 2

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

• Gregory Irving Mack, PH.D.

  • Clinical Psychologist
  • Yorktown Heights, NY
  • NPI 1669523106

  Cognitive & Behavioral

  NPD (past) Authorized official
• Meryle Kreuter, LCSW

  • Clinical Social Worker
  • Yorktown Heights, NY
  • NPI 1699725135
  NPD (past)

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1316487259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "SHRUB OAK",
            "state": "NY",
            "postal_code": "105880533",
            "telephone_number": "845-282-3367",
            "fax_number": "914-743-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KEAR ST",
            "address_2": "SUITE 202",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984425",
            "telephone_number": "845-282-3367",
            "fax_number": "914-743-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY I. MACK, PH.D.:CLINICAL, POLICE & FORENSIC PSYCH SVS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-282-3367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016597",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "016597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03577942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL, POLICE & FORENSIC PSYCHOLOGICAL SERVICES PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Graziani, P.T.
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• Yanique Patrice Green
• Betsey Greenspan, LCSW
• Joseph A Grispin, ATC
• Kathleen A Griswold
• Maura Gross, M.A/, CCC-SLP
• Alison Grossman
• Francesca Grosso

• Clinical Psychologist in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.