Organization
GREGORY I. MACK, PH.D.:CLINICAL, POLICE & FORENSIC PSYCH SVS PLLC
Active
Other names
CLINICAL, POLICE & FORENSIC PSYCHOLOGICAL SERVICES PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY IRVING MACK PH.D. (OWNER)
(845) 282-3367
Entity
Organization
Contact information
Practice address
345 KEAR ST, SUITE 202, YORKTOWN HEIGHTS, NY 10598-4425
(845) 282-3367
(914) 743-1613
Mailing address
PO BOX 533, SHRUB OAK, NY 10588-0533
(845) 282-3367
(914) 743-1613
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
016597
NY
103TB0200X
Cognitive & Behavioral Psychologist
016597
NY
103TC0700X
Clinical Psychologist
Primary
016597
NY
103TF0200X
Forensic Psychologist
016597
NY
103TP2701X
Group Psychotherapy Psychologist
016597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03577942
—
NY
Enumeration date
02/25/2017
Last updated
02/25/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us