Organization Active NPI

Mac Webb Psychology Clinic PLLC

  • Community/Behavioral Health Agency
  • Nampa, ID
National Provider Identifier
1346684271
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY-42 Issued in ID
Legal business name
MAC WEBB PSYCHOLOGY CLINIC PLLC
Practice address
408 22ND Ave S
Nampa, ID 83651-5424
Phone
(208) 466-8267
Fax
(208) 466-5226
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Mac C. Webb, ED.D.
Title
Licensed Psychologist
Phone
(208) 284-6746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY-42 ID Primary

Addresses

Primary practice location

408 22ND Ave S
Nampa, ID 83651-5424

Mailing address

408 22ND Ave S
Nampa, ID 83651-5424
Phone (208) 466-8267

National Provider Directory

National Provider Directory

Locations

408 22nd Ave S
Nampa, ID 83651
Phone (208) 466-8267

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1346684271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 22ND AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515424",
            "telephone_number": "208-466-8267",
            "fax_number": "208-466-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 22ND AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515424",
            "telephone_number": "208-466-8267",
            "fax_number": "208-466-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC WEBB PSYCHOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MAC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-284-6746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "PSY-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.