MS. SANDRA LOUISE MACK (NPI# 1992970586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992970586 |
| Entity Type | Individual |
| Full Name | MS. SANDRA LOUISE MACK |
| Credential | LMFT |
| Practice Address |
2280 Sunset Dr Suite B2 Los Osos CA 93402-4007 |
| Mailing Address |
Po Box 136 Morro Bay CA 93443-0136 |
| Practice Telephone | 8055281960 |
| Mailing Telephone | 8055502839 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC44461 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252709 | Sandra D Mack | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2015-07-31 |
| 1962571307 | Sandra M Mack | Social Worker | 1 Presidential Blvd, Suite 204, Bala Cynwyd, PA 19004-1017 | 2006-11-08 |
| Street Address |
2280 SUNSET DR SUITE B2 |
| City | LOS OSOS |
| State | CA |
| Zip Code | 93402-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023033115 | Thomas Najarian | Internal Medicine | 2280 Sunset Dr, Ste D, Los Osos, CA 93402-4007 | 2006-07-12 |
| 1598969123 | Bonita Diane Zisla | Marriage & Family Therapist | 2280 Sunset Dr, Suite B1, Los Osos, CA 93402-4007 | 2007-06-14 |
| 1740202647 | The Najarian Center, Inc. | Internal Medicine | 2280 Sunset Dr, Suite D, Los Osos, CA 93402-4007 | 2006-07-23 |
| 1558389841 | Gary Allen Scott | Nurse Practitioner | 2280 Sunset Dr, Suite D, Los Osos, CA 93402-4007 | 2006-07-17 |
| 1891710877 | Kathryn S Unkel | Psychiatry & Neurology | 2280 Sunset Dr, Ste E, Los Osos, CA 93402-4007 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890192 | Shawn Michael Bean | Chiropractor | 1806 Doris Ave, Los Osos, CA 93402 | 2017-09-15 |
| 1104260454 | Meghan Elizabeth Mckiernan | Family Medicine | 2238 Bayview Heights Dr Ste G, Los Osos, CA 93402 | 2013-04-17 |
| 1194014654 | Julie Ann Wade | Licensed Practical Nurse | 2033 Andre Avenue, Los Osos, CA 93402 | 2011-04-05 |
| 1962640078 | Andrew Benjamin Bonnett | Counselor | 1685 18th St., Los Osos, CA 93402 | 2009-01-27 |
| 1467634618 | Sattie Moyer Blanton | Marriage & Family Therapist | 2122 9th Street, Suite 110, Los Osos, CA 93402 | 2007-11-29 |
| 1538360649 | Russell Wayne Ball | Family Medicine | 2741 Houston Drive, Los Osos, CA 93402 | 2007-05-29 |
| 1356566145 | Kimberly Theresa Kavanagh | Acupuncturist | 566 Mitchell Drive, Los Osos, CA 93402 | 2007-04-16 |
| 1336266410 | Maxine Ellen Stein | Marriage & Family Therapist | 2055 D 9th Street, Los Osos, CA 93402 | 2007-03-23 |
| 1619000122 | Craig Gordon Loveridge | Dentist | 2238 Bay View Heights Dr, Los Osos, CA 93402 | 2007-03-13 |
| 1386737039 | Jill Marie Bates | Marriage & Family Therapist | 900 Los Osos Valley Road, Suite C, Los Osos, CA 93402 | 2006-10-02 |
| Find all providers in zip 93402 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032674 | Shannon Bates | Marriage & Family Therapist | 900 Los Osos Valley Rd Ste C, Los Osos, CA 93402-3268 | 2016-10-03 |
| 1457704751 | Gina Bello Sears | Marriage & Family Therapist | 1869 Los Osos Valley Rd, Los Osos, CA 93402-3007 | 2016-07-21 |
| 1235440546 | Thomas A Stein | Marriage & Family Therapist | 700 Mar Vista Dr, Los Osos, CA 93402-3812 | 2010-07-01 |
| 1467634618 | Sattie Moyer Blanton | Marriage & Family Therapist | 2122 9th Street, Suite 110, Los Osos, CA 93402 | 2007-11-29 |
| 1285852616 | Karen Marie Rogers | Marriage & Family Therapist | 1179 9th St, Los Osos, CA 93402-1301 | 2007-04-23 |
| 1336266410 | Maxine Ellen Stein | Marriage & Family Therapist | 2055 D 9th Street, Los Osos, CA 93402 | 2007-03-23 |
| 1770656308 | Jill V Denton | Marriage & Family Therapist | 2015 9th St, Los Osos, CA 93402-3209 | 2006-11-15 |
| 1386737039 | Jill Marie Bates | Marriage & Family Therapist | 900 Los Osos Valley Road, Suite C, Los Osos, CA 93402 | 2006-10-02 |
| 1386660702 | Patricia Gimer | Marriage & Family Therapist | 2390 Tierra Dr, Los Osos, CA 93402-4029 | 2006-07-15 |
| 1134175003 | Lori Diane Martinez-barraza | Marriage & Family Therapist | 900 Los Osos Valley Rd, Suite C, Los Osos, CA 93402-3206 | 2006-05-25 |
| Find all providers in LOS OSOS | ||||
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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.