Nicholas Albert Macak

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

301 Veterans Pkwy
New Lenox, IL 60451-2899

Phone

(815) 717-1700

NPI assigned

Dec 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1407390644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VETERANS PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-717-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VETERANS PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-717-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAK",
        "first_name": "NICHOLAS",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8422752",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carie Ludvik, MPT
• Catherine Anne Luebbe, SLP
• Cheryl A Lukas, OT
• Tiffany Marie Lukich
• Danielle Lynch
• Deanna Macdonald, LCPC
• Connie Lynn Machetta, RDN, LDN
• Nicol J Mack
• Nicole Maiellaro, M.S.
• Roxana Maria Maiers, PHARMD

• Assistant Behavior Analyst in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Assistant Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.