DR. LINDA TERRY MACK (NPI# 1063523041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063523041 |
| Entity Type | Individual |
| Full Name | DR. LINDA TERRY MACK |
| Credential | PSY.D. |
| Practice Address |
83 Summit Ave Hackensack NJ 07601-1262 |
| Practice Telephone | 2014886678 |
| Practice Fax Number | 2012240599 |
| Mailing Telephone | 2014886678 |
| Mailing Fax Number | 2012240599 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 35SI00308900 | NJ | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00308900 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376878397 | Linda Gail Mack | Behavioral Analyst | 2465 Harris St, Eugene, OR 97405-3079 | 2009-10-08 |
| 1720139637 | Linda Trees Mack | Psychologist | 233 S Albany St, Ithaca, NY 14850-5403 | 2007-01-16 |
| 1316055858 | Linda Mack | Counselor | 131 Nw Hawthorne Ave, Suite 105, Bend, OR 97701-2929 | 2006-08-25 |
| 1396918603 | Linda M Mack | Specialist | 40 Main St., Nelson Lagoon, AK 99571 | 2008-04-08 |
| 1427254994 | Linda Mack | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-06-22 |
| 1538226345 | Linda D. Mack | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2007-01-02 |
| 1205935301 | Linda Ruth Mack | Nurse Practitioner | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-09-22 |
| Street Address |
83 SUMMIT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336189786 | Theresa Marie Impeduglia | Surgery | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2006-06-07 |
| 1861949752 | Jessica Kicha | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2016-09-08 |
| 1407236748 | Meredith Aceste | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-06-02 |
| 1962898213 | Christopher Hires | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-04-14 |
| 1396138442 | Kenneth Welsh | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-03-13 |
| 1205174075 | Specialized Therapy Associates LLC | Psychiatry & Neurology | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2013-01-29 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1548506231 | Specialized Therapy Associates LLC | Social Worker | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1417293101 | Specialized Therapy Associates LLC | Nurse Practitioner | 83 Summit Ave, 2 Nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154977270 | Nadine Alison Lawrence | Psychologist | 350 Prospect Ave Apt 703, Hackensack, NJ 07601-2587 | 2019-08-14 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| 1265633499 | Yolanda Patricia Hawkins-rodgers | Psychologist | 105 Euclid Ave, Hackensack, NJ 07601-4608 | 2007-05-28 |
| 1871708917 | Charles Eugene Schaefer | Psychologist | 139 Temple Ave, Hackensack, NJ 07601-6008 | 2007-05-11 |
| 1407236748 | Meredith Aceste | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-06-02 |
| 1396138442 | Kenneth Welsh | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-03-13 |
| 1558759761 | Denise Phalon Cascio | Psychologist | 411 Hackensack Ave, 7th Floor, Hackensack, NJ 07601-6328 | 2014-12-23 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1154520567 | Marisol Habrahamshon | Psychologist | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2007-07-16 |
| 1306984380 | Thomas R Fowler | Psychologist | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2007-02-02 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.