DR. CAROL MARIE MACK (NPI# 1053527846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053527846 |
| Entity Type | Individual |
| Full Name | DR. CAROL MARIE MACK |
| Credential | DPT |
| Practice Address |
3835 Claridge Oval University Heights OH 44118-4739 |
| Practice Telephone | 4407594828 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | PT.011577 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
| 1780971978 | Carol Annette Mack | Specialist | 725 Princess Ave, N Las Vegas, NV 89030-3822 | 2011-07-07 |
| 1063714566 | Carol Mack | Counselor | 454 N. Claude A. Lord Blvd., Pottsville, PA 17901-2706 | 2010-12-03 |
| 1063412120 | Carol Bellomo Mack | Social Worker | Pcs, Inc., 1 Greystone Rd, Carlisle, PA 17013 | 2005-07-29 |
| 1023294774 | Carol Mack | Social Worker | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2008-01-11 |
| 1356566293 | Carol Jo Mack | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2007-04-16 |
| 1235207366 | Carol Jean Mack | Physician Assistant | 1850 M St Nw, Suite 450, Washington, DC 20036-5803 | 2006-11-30 |
| Street Address |
3835 CLARIDGE OVAL |
| City | UNIVERSITY HEIGHTS |
| State | OH |
| Zip Code | 44118-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798560 | Plunketts Pest Control-varment Guard | Prevention Professional | 1001 Checkrein Ave, Columbus, OH 43229-1106 | 2020-10-23 |
| 1043822265 | Lisa E Williams | Prevention Professional | 1845 Fairfax Rd, Toledo, OH 43613-5211 | 2020-08-19 |
| 1831700996 | Deanna Goehring | Prevention Professional | 9715 Millers Fork Rd, Lewisburg, OH 45338-8974 | 2020-08-12 |
| 1306457528 | Single Parents Rock | Prevention Professional | 130 W Wenger Rd Ste D, Englewood, OH 45322-2760 | 2020-08-11 |
| 1770117954 | Marlin L Dillard | Prevention Professional | 5103 Bellefontaine Rd, Dayton, OH 45424-4163 | 2020-02-27 |
| 1164077293 | Nonya Stalnaker | Prevention Professional | 115 Spink St, Wooster, OH 44691-3651 | 2019-08-06 |
| 1619454238 | Brenda Heidinger | Prevention Professional | 222 W Federal St Ste 201, Youngstown, OH 44503-1206 | 2018-07-26 |
| 1508374950 | Traci Mason | Prevention Professional | 11671 Julie Dr Nw, Baltimore, OH 43105-9306 | 2018-01-19 |
| 1356850275 | Rebecca Ruth Jones | Prevention Professional | 1908 Seymour Ave, Cincinnati, OH 45237-4007 | 2017-09-22 |
| 1508384421 | Jamie Deakins | Prevention Professional | 8445 Munson Rd., Mentor, OH 44006 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY HEIGHTS |
| Zip Code | 44118 |
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| 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.