Gregory Irving Mack, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016597 Issued in NY

Practice address

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

Phone

(845) 282-3367

Fax

(914) 743-1613

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

  • Clinical Psychologist
  • Yorktown Heights, NY
  • NPI 1316487259

  Cognitive & Behavioral

  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1669523106",
    "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": {
        "last_name": "MACK",
        "first_name": "GREGORY",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016597",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "016597",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_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": []
}

• Janet Ludevig, LCSW-R
• Luke Pinatello D.C., P.C.
• Nicholas Lustrino, RPH
• Luxottica of America Inc. (Lenscrafters #541)
• Ann Lynch
• Patrick Mackey
• Dyanna R Mana, RN
• Barry Mangione, P.T
• Ronald Lawrence Mann, M.D.
• Cynthia Leah Mansbach, LCSW R MSW

• 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.