Kaila Norman Mack, PH.D.

Cognitive & Behavioral Psychologist · Somerville, MA

Individual Active NPI

NPI number 1255677969

Practice location

165 Middlesex Ave Ste 1118
Somerville, MA 02145-1105

Phone: (617) 934-0219

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NPI record

NPI: 1255677969
Entity type: Individual (Type 1)
Enumeration date: December 27, 2012
Last updated: September 25, 2024
Certified: September 25, 2024
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Cognitive & Behavioral Psychologist Primary	`103TB0200X`	10244	MA
Cognitive & Behavioral Psychologist	`103TB0200X`	—	—

Mailing address

PSC 701 Box 371
Apo, AP 96555-0004

Phone: (617) 934-0219

About Dr. Mack

Kaila Norman Mack, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Cognitive & Behavioral Psychologist (code 103TB0200X). The practice location is 165 Middlesex Ave Ste 1118, Somerville, MA 02145-1105. The NPI number 1255677969 was assigned on December 27, 2012 and the record was last updated on September 25, 2024.

Dr. Mack lists a license in the registry: #10244 (MA) for Cognitive & Behavioral Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kaila Norman Mack, PH.D.?

The NPI number is 1255677969.

What is the phone number of Dr. Mack?

The phone number listed for the practice location is (617) 934-0219.

Where is Dr. Mack located?

165 Middlesex Ave Ste 1118, Somerville, MA 02145-1105.

What is the taxonomy code for Dr. Mack?

The primary taxonomy code is 103TB0200X – Cognitive & Behavioral Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.