DR. CARY NELSON MACK


Address: 10517 Kentshire Ct, Baton Rouge, LA 70810-2853
Phone: 2257698335

DR. CARY NELSON MACK (NPI# 1477743193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477743193
Entity Type Individual
Full Name DR. CARY NELSON MACK
Credential PH.D.
Practice Address 10517 Kentshire Ct
Baton Rouge
LA 70810-2853
Mailing Address 9229 Bluebonnet Blvd
Ste B
Baton Rouge
LA 70810-2808
Practice Telephone 2257698335
Practice Fax Number 2257698396
Mailing Telephone 2257667470
Mailing Fax Number 2257667473
Enumeration Date 2007-07-30
Last Update Date 2014-04-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
1035 LA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1345661 05

Office Location

Street Address 10517 KENTSHIRE CT
City BATON ROUGE
State LA
Zip Code 70810-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134274038 Alicia Pellegrin Psychologist 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 2007-01-24
1821500596 Omar Steve Zapata Physician Assistant 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 2017-11-02
1184140923 Jaime Collins Hilton Social Worker 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 2017-08-14
1891941456 Assessment & Psychological Services, Inc Marriage & Family Therapist 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 2008-08-14
1851552806 Larry Wedell Warner Jr. Psychiatry & Neurology 10517 Kentshire Ct, Baton Rouge, LA 70810-2853 2008-06-23

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NPI Name Taxonomy Address Enumeration
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1902334931 Reginald Shaffer Counselor 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 2017-06-03
1770010381 Keona Julien Case Manager/Care Coordinator 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 2017-05-12
1205372893 Grand Canyon Mobile Dentistry Dentist 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 2017-01-06
1215395173 Kimberly Booker Counselor 9371 Bimini Dr, Baton Rouge, LA 70810 2016-02-08
1710354022 St Gabriel Health Clinic, Inc Clinic/Center 9211 Parkway Dr, Baton Rouge, LA 70810 2015-08-24
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1073991535 James Michael Robinson Family Medicine 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 2015-05-15
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275184608 Tiffany Mccaughey Psychologist 2223 Quail Run Ste H1, Baton Rouge, LA 70808-9063 2019-09-26
1467007575 Melinda H Le Psychologist 2333 Government St, Baton Rouge, LA 70806-5316 2019-08-06
1083274757 Joseph Garrison Johnson Psychologist 8676 Goodwood Blvd Ste 204, Baton Rouge, LA 70806-7914 2019-06-15
1851633838 Tracy Harper Dossett Psychologist 10641 Hillary Ct, Suite 1, Baton Rouge, LA 70810-2979 2013-03-18
1619023058 Sherry K Desselle Psychologist 7424 Picardy Ave, Baton Rouge, LA 70808-4331 2007-01-26
1649330796 Bryan Joseph Gros Psychologist 4615 Government St Bldg 2, Baton Rouge, LA 70806-5820 2006-12-11
1417997594 Joseph Keith Kahler Psychologist 7916 Wrenwood Blvd, Suite C, Baton Rouge, LA 70809-1782 2006-06-07
1053365759 Our Lady of The Lake Hospital Inc Psychologist 8415 Goodwood Blvd, Ste 200, Baton Rouge, LA 70806-7851 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154973162 Shaunda Johnson Psychologist 150 Industrial Pkwy, Lafayette, LA 70508-8309 2019-07-10
1780247312 Samuel Toney Psychologist 343 Blankston Rd, Monroe, LA 71202-9620 2019-04-18
1457840811 Laura Harris Psychologist 3218 Line Ave Ste 111, Shreveport, LA 71104-4261 2018-05-01
1174985238 Bobby Kizer Phd LLC Psychologist 6851 Memphis St, New Orleans, LA 70124-3341 2016-03-27
1700270857 Sherri Transier Psychologist 2495 Shreveport Highway 71, Alexandria Va Health Care System, Pineville, LA 71360 2015-03-26
1235570573 Walter C Buboltz Jr. Psychologist 2101 Walnut Ave, Ruston, LA 71270-5145 2013-07-15
1639474810 Amanda Marie Norris Psychologist 126 Choctaw Dr, West Monroe, LA 71291-7031 2011-01-19
1790915189 Eric Deemer Psychologist 2419 Redwood St, Ruston, LA 71270-7132 2009-07-20
1790910453 Benjamin D Arnold Psychologist LLC Psychologist 300 Edgewood Drive, Pineville, LA 71360-5445 2009-05-26
1104061639 Arthur Merriam Ruggles Psychologist 2620 Centenary Blvd., Bldg.3,, Ste. 304 Meece & Associates, L.L.C., Shreveport, LA 71104 2008-12-12
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Competitor

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City BATON ROUGE
Zip Code 70810

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Dataset Information

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.

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