Individual provider Active NPI

Margaret M Mack, PHD., MA, APRN BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Wilmington, DE
National Provider Identifier
1962618686
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
LE-0000123 Issued in DE
Practice address
10 Guyenne Rd
Wilmington, DE 19807-1414
Phone
(302) 530-0358
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X LE-0000123 DE Primary

Addresses

Primary practice location

10 Guyenne Rd
Wilmington, DE 19807-1414

Mailing address

10 Guyenne Rd
Wilmington, DE 19807-1414
Phone (302) 656-4595

Other names 1

  • Peggy Mack Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218002941 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 3577821628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Psychiatry, LLCGroup PAC ID 1355621244, 3 clinicians

Practice addresses (Care Compare)

5700 Kirkwood Hwy
Suite 107
Wilmington, DE 19808-4883
Phone (302) 224-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LE-0000123DEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Psychiatric Services PA CurrentSince Jan 1, 2019 Accepting new patients
Anew Mental Health CurrentSince Oct 14, 2017 Accepting new patients
Nicoleta Coconcea, LLC CurrentSince Nov 1, 2019 Accepting new patients
Delaware Psychiatry, LLC CurrentSince Nov 1, 2019 Accepting new patients
Dr. Alex Jacobson Psychiatry, LLC Past Accepting new patients

Locations

819 S Governors Ave
Dover, DE 19904
Phone (302) 678-4558

1001 S Bradford St
Ste 7
Dover, DE 19904
Phone (302) 264-9436

4745 Ogletown Stanton Rd
Ste 124
Newark, DE 19713
Phone (302) 454-9900

5700 Kirkwood Hwy
Ste 107
Wilmington, DE 19808
Phone (302) 224-1711

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1962618686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GUYENNE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071414",
            "telephone_number": "302-656-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GUYENNE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071414",
            "telephone_number": "302-530-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MARGARET",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD., MA,  APRN BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "DE",
            "license": "LE-0000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "MACK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.