DR. KATHLEEN A. MACK (NPI# 1982679403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982679403 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A. MACK |
| Credential | PSY.D. |
| Practice Address |
8 Triangle Park Dr Suite 804 Cincinnati OH 45246-3404 |
| Mailing Address |
Po Box 674 Loveland OH 45140-0674 |
| Practice Telephone | 5137718555 |
| Practice Fax Number | 5137718556 |
| Mailing Telephone | 5137718555 |
| Mailing Fax Number | 5137718556 |
| Enumeration Date | 2006-02-19 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3898 | OH | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3898 | OH | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
3898 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881073518 | Kathleen Mack | Behavioral Analyst | 3655 Childress Ave, Saint Louis, MO 63109-1309 | 2015-05-27 |
| 1326211624 | Kathleen Ann Mack | Registered Nurse | 612 Country Clb, Tooele, UT 84074-9604 | 2008-04-08 |
| 1417306879 | Kathleen Mack | Peer Specialist | 412 E North St, Suite A, Waukesha, WI 53188-3720 | 2016-06-07 |
| 1932352002 | Kathleen Theresa Mack | Nurse Practitioner | 1560 Garrett Rd, Upper Darby, PA 19082-4516 | 2008-11-02 |
| Street Address |
8 TRIANGLE PARK DR SUITE 804 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386829380 | Kathleen A. Mack, Psy.d,. Inc. | Psychologist | 8 Triangle Park Dr, Cincinnati, OH 45246-3404 | 2008-01-08 |
| 1528271566 | Susan Modrall Zarnowiecki | Psychologist | 8 Triangle Park Dr, Suite 804, Cincinnati, OH 45246-3404 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1285286310 | Lisa M Leonard | Psychologist | 1010 Delta Ave Apt 3, Cincinnati, OH 45208-3159 | 2019-07-09 |
| 1083190565 | Katrina Renee Lenz | Psychologist | 2035 Weyer Ave Apt 7, Cincinnati, OH 45212-3066 | 2018-07-17 |
| 1528571841 | Livewell Group | Psychologist | 7781 Cooper Rd, 2nd Floor, Suite 5, Cincinnati, OH 45242-7728 | 2017-11-08 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1508225152 | Haviva Epstein Randolph | Psychologist | 7650 Elbrook Ave, Cincinnati, OH 45237-2204 | 2016-02-10 |
| 1174914055 | Benjamin David Dickstein | Psychologist | 323 W 5th St Frnt 1n, Cincinnati, OH 45202-2772 | 2015-02-12 |
| 1629468228 | Amber Stevens | Psychologist | 2245 Gilbert Ave Ste 303, Cincinnati, OH 45206-3000 | 2015-02-03 |
| 1609292606 | Farrah Jacquez | Psychologist | 225 Calhoun St, Suite 280, Cincinnati, OH 45219-1528 | 2014-03-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
Please comment or provide details below to improve the information on DR. KATHLEEN A. 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.