Patricia Mack, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000595 Issued in IL

Practice address

2100 Manchester Road
Wheaton, IL 60187-4593

Phone

(630) 880-8445

Fax

(630) 953-2559

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Patricia Karl Mack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1699006270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 S HIGHLAND AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483053",
            "telephone_number": "630-880-8445",
            "fax_number": "630-953-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER ROAD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874593",
            "telephone_number": "630-880-8445",
            "fax_number": "630-953-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MACK",
            "middle_name": "KARL",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Parvine Mobed Macdonald, LCSW
• Rosemary M Macdonald, LCPC
• Nancy Machonkin, PSY.D.
• Esmeralda Macias
• Kelly Anne Mack, RD4
• Anna Mackender, MD
• Patrick Michael Mackey, M.D.
• Linda Madsen, LCSW
• Brian T. Madvig, PH.D.
• Margaret A Madvig, LSW

• Marriage & Family Therapist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.