Active NPIIndividual providerSole proprietor

Dr. Melissa Klika Mack, PSYD

Psychologist, Clinical in Madison, New Jersey

NPI Number1942622147
Practice location
13 Madison Ave, Madison, NJ 07940-1400
Fax
973-695-1483
Last updated
January 8, 2014

Melissa Klika Mack is a Psychologist, Clinical based in Madison, NJ. Melissa Klika Mack practices in Madison, NJ and has the professional credentials of PSYD. The NPI Number for Melissa Klika Mack is 1942622147 and holds a License No. 5134 (NJ). The current practice location address for Melissa Klika Mack is 13 Madison Ave, Madison, NJ 07940-1400 and can be reached out via phone at 908-512-6027 and via fax at 973-695-1483.

Provider Profile Details

NPI Number
1942622147
Provider Name
Melissa Klika Mack
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
13 Madison Ave, Madison, NJ 07940-1400
Phone Number
908-512-6027
Fax Number
973-695-1483
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2014
Last Update Date
January 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Madison Ave
Madison, NJ 07940-1400
Zip
07940-1400
Phone Number
908-512-6027
Fax Number
973-695-1483
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
8 Longview Ave
Madison, NJ 07940-1712
City
Madison
State
NJ
Zip
07940-1712
Phone Number
908-512-6027
Fax Number
973-695-1483

License Information

License Number (1)
5134
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
019839
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Melissa Klika Mack, PSYD?

The NPI number of Dr. Melissa Klika Mack, PSYD is 1942622147. It was assigned on January 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Melissa Klika Mack, PSYD?

Dr. Melissa Klika Mack, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 5134.

Where does Dr. Melissa Klika Mack, PSYD practice?

The practice location is 13 Madison Ave, Madison, NJ 07940-1400. The office can be reached at 908-512-6027 (phone) or 973-695-1483 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942622147 directly on the NPPES registry website.

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