Organization Active NPI

Kathleen a. Mack, Psy.D,. Inc.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1386829380
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3898 Issued in OH
Legal business name
KATHLEEN A. MACK, PSY.D,. INC.
Practice address
8 Triangle Park Dr
Cincinnati, OH 45246-3404
Phone
(513) 771-8555
Fax
(513) 771-8556
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. Kathleen A. Mack, PSY.D.
Title
President
Phone
(513) 771-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3898 OH Primary

Addresses

Primary practice location

8 Triangle Park Dr
Cincinnati, OH 45246-3404

Mailing address

PO Box 674
Loveland, OH 45140-0674
Phone (513) 771-8555

National Provider Directory

National Provider Directory

Locations

8 Triangle Park Dr
Cincinnati, OH 45246
Phone (513) 771-8555

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1386829380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451400674",
            "telephone_number": "513-771-8555",
            "fax_number": "513-771-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TRIANGLE PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463404",
            "telephone_number": "513-771-8555",
            "fax_number": "513-771-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A. MACK, PSY.D,. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-771-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.