NPIMap

Organization Active NPI

Marriage & Family Therapy Associates

Doing business as Richard N. Mack

  • Marriage & Family Therapist
  • Auburn, NY
National Provider Identifier
1689942625
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000906 Issued in NY
Legal business name
MARRIAGE & FAMILY THERAPY ASSOCIATES
Doing business as
Richard N. Mack
Practice address
2 South St Ste 210
Auburn, NY 13021-6174
Phone
(315) 282-7076
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Richard Newell Mack, M.DIV., LMFT
Title
Executive Director
Phone
(315) 282-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 000906 NY Primary

Addresses

Primary practice location

2 South St Ste 210
Auburn, NY 13021-6174

Mailing address

2 South St Ste 210
Auburn, NY 13021-6174
Phone (315) 282-7076

Other names 1

  • Richard N. Mack Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marriage Family Therapy Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 South St
Ste 210
Auburn, NY 13021
Phone (315) 282-7076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1689942625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH ST STE 210",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130216174",
            "telephone_number": "315-282-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOUTH ST STE 210",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130216174",
            "telephone_number": "315-282-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-282-7076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard N. Mack",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.