Richard Norman Mack, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G13705 Issued in CA

Practice address

23822 Valencia Blvd
# 204
Valencia, CA 91355-5302

Phone

(818) 516-1423

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1619063328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5430",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914135430",
            "telephone_number": "818-783-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD",
            "address_2": "# 204",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555302",
            "telephone_number": "818-516-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "RICHARD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G13705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G137050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ruth Luza
• M & E Medical Services
• Clare Macaulay, DDS
• Rebecca Macias-Flores
• Luke Charles Maciejewski
• James Mackabee, MD
• Julienne Mackey
• Barbara Macmillin
• Samira Madoo
• Alexia Aliyanni Magana Alcala

• Psychiatry Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.