KAILA NORMAN MACK (NPI# 1255677969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255677969 |
| Entity Type | Individual |
| Full Name | KAILA NORMAN MACK |
| Credential | PH.D. |
| Practice Address |
151 Merrimac St Fl 3 Child Cbt Program At Mgh Boston MA 02114-4714 |
| Mailing Address |
72 Vista Ave Medford MA 02155-2030 |
| Practice Telephone | 6177244913 |
| Mailing Telephone | 6177244913 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
10244 | MA | Behavioral Health & Social Service Providers |
| Street Address |
151 MERRIMAC ST FL 3 CHILD CBT PROGRAM AT MGH |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487080487 | Kip Van Thompson | Psychologist | 166 Terrace St, Apt. 314, Boston, MA 02120-2512 | 2013-09-23 |
| 1023642865 | Chia Hsuan Sabrina Chang | Psychologist | 20 Vining St, Boston, MA 02115-6115 | 2020-03-02 |
| 1982001871 | Amy Elizabeth Lawrence | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-11-20 |
| 1811306194 | Shimrit Koren Black | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-08-12 |
| 1942646138 | Rachel Zack Ishikawa | Psychologist | 55 Fruit Street, Wang Ambulatory Care Center, Boston, MA 02114 | 2013-05-15 |
| 1518226612 | Noah Chase Berman | Psychologist | 185 Devonshire St, Suite 900, Boston, MA 02110-1407 | 2012-05-09 |
| 1770862757 | Megan Oser | Psychologist | 221 Longwood Ave, 4th Floor, Boston, MA 02115-5804 | 2011-08-09 |
| 1396031431 | Lisa Caryn Smith | Psychologist | 648 Beacon St, 6th Floor, Boston, MA 02215-2013 | 2011-06-28 |
| 1740583327 | Center for Anxiety and Related Disorders At Boston University | Psychologist | 648 Beacon St Ste 6, Boston, MA 02215-2013 | 2010-12-21 |
| 1851628887 | Todd Joel Farchione | Psychologist | 268 Newbury St, Third Floor, Boston, MA 02116-2424 | 2009-11-12 |
| Find all providers in BOSTON | ||||
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| 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.