David G Mack (NPI# 1043276181, PAC ID# 1052371143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1043276181 |
| PAC ID by PECOS | 1052371143 |
| Professional Enrollment ID | I20041013000705 |
| Full Name | David G Mack |
| Organization Legal Name | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Address |
812 E Jolly Rd Lansing MI 48910-6818 |
| Phone Number | 5173468200 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2668376732 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 234 Michigan Ave, East Lansing, MI 48823-4215 | 5173376545 | LANSING PSYCHOLOGICAL ASSOCIATES PC |
| 812 E Jolly Rd, Lansing, MI 48910-6818 | 5173468200 | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Organization Legal Name | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Enterline | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Mckensie Ward | Occupational Therapy | Community Mental Health Authority of Clinton Eaton Ingham Counties | 5150 Wardcliff Dr, East Lansing, MI 48823-3851 |
| Rachel L Boots-rositas | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 201 W Railroad St, Suite A, Saint Johns, MI 48879-1513 |
| Ronald Kostka | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 551 Courthouse Dr, Suite 5, Charlotte, MI 48813-1054 |
| Sitamahalakshmi Pothacamury | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 606 W Shiawassee St, Lansing, MI 48933-1032 |
| Cynthia L Spencer | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Suite 216, Lansing, MI 48910-6821 |
| Sarah Susannah Zyskowski | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Jessica L Stewart | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Alisa M Schlacht | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Jacqualine D Griffin | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Street Address |
812 E JOLLY RD |
| City | LANSING |
| State | MI |
| Zip | 48910-6818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Enterline | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Cynthia L Spencer | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Suite 216, Lansing, MI 48910-6821 |
| Sarah Susannah Zyskowski | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Jessica L Stewart | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Alisa M Schlacht | Psychiatry | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Jacqualine D Griffin | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Erin Martin | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Martha Callow-rucker | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Leslie Jaquette | Clinical Social Worker | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Eileen F Laryea | Registered Dietitian Or Nutrition Professional | Community Mental Health Authority of Clinton Eaton Ingham Counties | 812 E Jolly Rd, Lansing, MI 48910-6818 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleanore R Kue | Family Medicine | 2025 W Holmes Rd, Lansing, MI 48910-0376 | |
| Sylvia J Brown Jones | Clinical Social Worker | Initiating Communities Helping Area Neighborhoods Gain Empowerment | 913 W Holmes Rd, Suite 235, Lansing, MI 48910-0430 |
| Denise Brown-chillers | Clinical Social Worker | Initiating Communities Helping Area Neighborhoods Gain Empowerment | 913 W Holmes Rd, Suite 235, Lansing, MI 48910-0430 |
| Nicole H Schmidt-nutt | Clinical Social Worker | Initiating Communities Helping Area Neighborhoods Gain Empowerment | 913 W Holmes Rd, Suite 235, Lansing, MI 48910-0430 |
| Judith Anne Suess | Addiction Medicine | Michigan Therapeutic Consultants PC | 913 W Holmes Rd, Suite 189, Lansing, MI 48910-0434 |
| Jeanne M Kapenga | Addiction Medicine | Michigan Therapeutic Consultants PC | 913 W Holmes Rd, Suite 189, Lansing, MI 48910-0434 |
| Ronald B Penfield | Clinical Social Worker | Gps Guide To Personal Solutions | 913 W Holmes Rd, 143 Gps, Lansing, MI 48910-0435 |
| Kelly Lynn O'brien | Clinical Social Worker | Gps Guide To Personal Solutions | 913 W Holmes Rd, 143 Gps, Lansing, MI 48910-0435 |
| David Earl Ware | Clinical Social Worker | Gps Guide To Personal Solutions | 913 W Holmes Rd, 143 Gps, Lansing, MI 48910-0435 |
| Alice Williams | Clinical Social Worker | Gps Guide To Personal Solutions | 913 W Holmes Rd, 143 Gps, Lansing, MI 48910-0435 |
| Find all physicians in zip 48910 | |||
| City | LANSING |
| Zip Code | 48910 |
| Specialty | PSYCHIATRY |
| City + Specialty | LANSING + PSYCHIATRY |
Please comment or provide details below to improve the information on David G Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.