MICHAEL MACK (NPI# 1245484948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245484948 |
| Entity Type | Individual |
| Full Name | MICHAEL MACK |
| Credential | MFT |
| Practice Address |
6041 Cadillac Ave Los Angeles CA 90034-1702 |
| Practice Telephone | 3238572000 |
| Mailing Telephone | 3238572000 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 44626 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737589 | Michael George Mack | Chiropractor | 1327 Bay View Dr, Devils Lake, ND 58301-8629 | 2013-05-21 |
| 1710239876 | Michael Wesley Mack Jr. | Social Worker | 6605 Abercorn St Ste 101f, Savannah, GA 31405-5896 | 2012-10-12 |
| 1407138712 | Michael Mack | Registered Nurse | 5416 N Lawrence St, Philadelphia, PA 19120-2804 | 2011-09-13 |
| 1235298555 | Michael Edward Mack | Dentist | 7060 Spring Meadows W Dr, Suite B, Holland, OH 43528-8061 | 2006-12-06 |
| 1508952375 | Michael John Mack | Dentist | 40 E. Putnam Ave., Cos Cob, CT 06807 | 2006-10-05 |
| 1962995357 | Michael Mack | Case Manager/Care Coordinator | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2018-06-11 |
| 1902356710 | Michael Anthony Mack | Counselor | 600 Bernard St, Bakersfield, CA 93305-3020 | 2016-10-05 |
| 1114333796 | Michael Mack | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-03 |
| 1225216997 | Michael Dean Mack | Emergency Medicine | 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644 | 2008-02-05 |
| 1376531913 | Michael J. Mack | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd, Suite 700, Pavillion I, Plano, TX 75093-5340 | 2005-10-07 |
| Street Address |
6041 CADILLAC AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596708 | Grace Choi | Optometrist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2005-08-26 |
| 1417561788 | Shirldawn Williams | Social Worker | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-09-03 |
| 1720699952 | Beatrice Nguy | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-08-12 |
| 1598375982 | Kristina Lynn Wong | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-07-31 |
| 1033733472 | Ashika Sharma | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-02 |
| 1043834484 | Jose Conde | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-01 |
| 1164045480 | Jenelle Newell | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-20 |
| 1316569155 | Swan An | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-14 |
| 1790307882 | Jennifer Kitahara | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1700 | 2020-05-12 |
| 1316568090 | Calvin Lai | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
Please comment or provide details below to improve the information on MICHAEL MACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.