Clinical, Police & Forensic Psychological Services Pllc

LBN: Gregory I. Mack, Ph.D.:Clinical, Police & Forensic Psych Svs Pllc
Clinical, Police & Forensic Psychological Services Pllc is an health care organization with primary practice located at 345 Kear St Suite 202, Yorktown Heights NY 10598-4425. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Gregory I. Mack, Ph.D.:Clinical, Police & Forensic Psych Svs Pllc can be contacted via phone (845) 282-3367, or through Mack, Gregory Irving via phone (845) 282-3367.

Contact Information

Primary practice address
345 Kear St Suite 202 Yorktown Heights NY 10598-4425
Phone: (845) 282-3367
Fax: (914) 743-1613
Website:
Map and Directions
Authorized official contact:
Name: Mack, Gregory Irving PH.D.
Phone: (845) 282-3367

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 016597 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 016597 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016597 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 016597 New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 016597 New York

Profile Details

NPI number 1316487259
LBN Legal business name Gregory I. Mack, Ph.D.:Clinical, Police & Forensic Psych Svs Pllc
DBA Doing business as Clinical, Police & Forensic Psychological Services Pllc
Authorized official Mack, Gregory Irving PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2017
Last updated Feb 25th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316487259 NPPES
New York MEDICAID 03577942

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