DR. DELORES ELIZA MACK (NPI# 1962555995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962555995 |
| Entity Type | Individual |
| Full Name | DR. DELORES ELIZA MACK |
| Credential | PH.D. |
| Practice Address |
414 Yale Ave Suite F Claremont CA 91711-4357 |
| Mailing Address |
2176 N Albright Ave Upland CA 91784-1217 |
| Practice Telephone | 9093199956 |
| Practice Fax Number | 9099467133 |
| Mailing Telephone | 9099467177 |
| Mailing Fax Number | 9099467133 |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY13593 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4067536 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481807 | Delores Mack | Registered Nurse | 26401 Pacific Hwy S, Des Moines, WA 98198-9247 | 2020-03-05 |
| 1023218997 | Delores Ann Mack | Social Worker | 5602 Baltimore National Pike, Suit # 506, Baltimore, MD 21228-1411 | 2007-07-19 |
| Street Address |
414 YALE AVE SUITE F |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114138344 | F. Peter Sabey | Marriage & Family Therapist | 414 Yale Ave, Suite G, Claremont, CA 91711-4357 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| 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 |
|---|---|---|---|---|
| 1861730137 | Marjorie Helen Charlop | Psychologist | 850 Columbia Ave, Psychology Department/claremont Mckenna College, Claremont, CA 91711-3901 | 2013-01-22 |
| 1629308267 | Traci Warner Lowenthal | Psychologist | 250 W 1st St Ste 340, Claremont, CA 91711-4751 | 2010-01-04 |
| 1043446180 | Janice C. Ciccarelli | Psychologist | 250 W 1st St Ste 314, Claremont, CA 91711-4741 | 2009-06-03 |
| 1366649238 | Judith Elyse Meyers-abell | Psychologist | 853 Miami Ct, Claremont, CA 91711-2531 | 2007-07-02 |
| 1972637668 | Maurice Adam Levy | Psychologist | 101 N Indian Hill Blvd Ste C1-200, Claremont, CA 91711-4667 | 2007-03-15 |
| 1912036658 | Gurucharan Singh Khalsa | Psychologist | 428 Harrison Ave Ste 200, Claremont, CA 91711-4605 | 2007-03-05 |
| 1285791525 | Susan Ring | Psychologist | 250 W. 1st St., #314, Claremont, CA 91711 | 2007-01-03 |
| 1144243049 | Aubrey Howard Fine | Psychologist | 220 S Indian Hill Blvd, Suite K, Claremont, CA 91711-4929 | 2006-07-25 |
| 1851388805 | Michael A Schneider | Psychologist | 186 Roberts Hill Rd, Claremont, NH 03743-4349 | 2005-10-04 |
| 1457969230 | Miao Li | Psychologist | 757 N College Way, Claremont, CA 91711-3944 | 2020-07-17 |
| Find all providers in CLAREMONT | ||||
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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.