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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
1035 | LA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1345661 | 05 |
Street Address |
10517 KENTSHIRE CT |
City | BATON ROUGE |
State | LA |
Zip Code | 70810-2853 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
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 |
1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
Find all providers in zip 70810 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70810 |
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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.