Dr. James L Mack
Clinical Neuropsychologist

Address: 11100 Euclid Ave, Cleveland, OH 44106-1716
Phone: 2168442400

Dr. James L Mack (NPI# 1659456903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1659456903
Entity Type Individual
Full Name Dr. James L Mack
Credential PH.D.
Gender Male
Practice Address 11100 Euclid Ave
Cleveland
OH 44106-1716
Practice Telephone 2168442400
Mailing Address 11100 Euclid Ave
Han 5040
Cleveland
OH 44106-1716
Mailing Telephone 2168443188
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-26
Last Update Date 2010-11-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers 1228 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH 0254004 MEDICAID

Other Providers JAMES MACK

NPI Name Taxonomy Address Enumeration
1487958500 James C.a. Mack Dentist 110 Highland Avenue, New Stanton, PA 15672 2011-01-04
1073606281 James Andrew Mack Dentist 3004 Hg Mosley Pkwy, Longview, TX 75605-2948 2006-10-02
1396038204 James Arthur Mack IIi Counselor 1814 Franklin St, Oakland, CA 94612-3487 2011-05-25
1942480280 James E. Mack Pharmacist 400 W Morris St, Bath, NY 14810-1039 2007-11-03
1669575445 James A. Mack Internal Medicine 1045 N 30th St, Billings, MT 59101-0733 2006-09-06
1720002678 James Edward Mack Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-07-26
1457310757 James C Mack II Pediatrics 2351 Huguenard Dr, Suite 200, Lexington, KY 40503 2006-03-23

Physician Overview

NPI 1659456903
PAC ID by PECOS 2567654940
Professional Enrollment ID I20101004000708
Full Name James L Mack
Organization Legal Name UNIVERSITY HOSPITALS MEDICAL GROUP INC
Phone Number 2168441000
Gender M
Graduation Year 1967
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 4789682493
Number of Group Practice Members 1099
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 11100 EUCLID AVE
City CLEVELAND
State OH
Zip Code 44106-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518438084 Kanyike Ian Joseph Bwete Otolaryngology 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-10
1437621091 Kelly Nicole Black Nurse Anesthetist, Certified Registered 11100 Euclid Ave, Anesthesia Dept, Cleveland, OH 44106-5007 2018-12-20
1205307170 Marjorie Malone Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-17
1275004889 Jill Winegardner Psychologist 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1215408836 Devin Robert Ockerman Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1821569443 Lee Devinney-boymel Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-12-07
1538639232 Teresa Carter Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-26
1235609934 Mario Gavan Manacci Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-26
1356810303 Jordan Marie Moore Physician Assistant 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-20
1336618867 Christopher Biros Pharmacy 11100 Euclid Ave, Cleveland, OH 44106-1716 2018-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962977439 Karim Basta Student in an Organized Health Care Education/Training Program 2124 Cornell Rd., Cleveland, OH 44106 2018-10-10
1376024323 Katie Tyler Hawkins Dietitian, Registered 11100 Euclid Ave Ste 1600, Cleveland, OH 44106 2018-08-28
1295220754 Mohammad Alhomoud Student in an Organized Health Care Education/Training Program University Hospital 11100 Euclid Avenue 6223, 1, Cleveland, OH 44106 2018-06-27
1891288460 Gina Suozzi Dietitian, Registered 12482 Cedar Rd, Cleveland Heights, OH 44106 2018-06-08
1720584782 Shubhra Upadhyay Student in an Organized Health Care Education/Training Program University Hospital Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106 2018-03-30
1245732726 James Ankeny Social Worker 11101 Magnolia Dr., Cleveland, OH 44106 2018-03-01
1124535752 Jamie Parham Counselor 1905 East 89th Street, Cleveland, OH 44106 2018-01-04
1619483864 Nina P Booker Behavior Analyst 2070 E. 90th, P-57, Cleveland, OH 44106 2017-12-26
1447765680 Cleanita Coleman Home Health 11210 Orville Avenue, Cleveland, OH 44106 2017-12-11
1851818405 Angela Patterson Counselor 1909 E. 89th St., Cleveland, OH 44106 2017-08-24
Find all providers in zip 44106

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: title modified, 1/1/2019: defintion modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417061623 Robert A. Catanese Clinical Neuropsychologist 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312-2723 2006-08-18
1992276661 Catherine Lee Clinical Neuropsychologist 11100 Euclid Avenue, Department of Neurology, Cleveland, OH 44106 2018-12-06
1942659263 Kamini Krishnan Clinical Neuropsychologist 9500 Euclid Ave, Cleveland, OH 44195-0001 2016-06-07
1255774360 Felicia Fraser Clinical Neuropsychologist 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2013-04-09
1265663660 Christopher Bailey Clinical Neuropsychologist 11100 Euclid Ave, Cleveland, OH 44106-1716 2009-08-03
1639326515 Daniel Jonathan Harvey Clinical Neuropsychologist 10701 East Blvd, Mailing Code 116b(w), Cleveland, OH 44106-1702 2008-08-22
1407012883 Philip Stephen Fastenau Clinical Neuropsychologist 11100 Euclid Ave, Cleveland, OH 44106-1716 2008-08-05
1326248196 Darlene Floden Clinical Neuropsychologist 9500 Euclid Ave, Cleveland, OH 44195-0001 2007-07-20
1285830083 Stephen Rao Clinical Neuropsychologist 9500 Euclid Ave, Cleveland, OH 44195-0001 2007-06-27
1306055322 Amir M Poreh Clinical Neuropsychologist 11100 Euclid Ave, Cleveland, OH 44106-1716 2007-05-22
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44106

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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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