DR. KEISHA LASHON MACK PH.D.
NPI 1104074970
Psychologist - Clinical in Washington, DC

NPI Status: Active since September 04, 2008

Contact Information

3800 RESERVOIR RD NW
WASHINGTON, DC
ZIP 20007
Phone: (202) 444-5437
Fax: (202) 444-2931

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  • Individual
  • Female
  • Psychologist
  • Clinical

About KEISHA MACK

This page provides the complete NPI Profile along with additional information for Keisha Mack, a provider established in Washington, District Of Columbia with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104074970 assigned on September 2008. The practitioner's primary taxonomy code is 103TC0700X with license number PSY1000323 (DC). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1104074970
Provider Name
DR. KEISHA LASHON MACK PH.D.
Gender
Female
Entity Type
Individual
Location Address
3800 RESERVOIR RD NW WASHINGTON, DC 20007
Location Phone
(202) 444-5437
Location Fax
(202) 444-2931
Mailing Address
PO BOX 418407 BOSTON, MA 02241
Mailing Phone
(703) 558-1544
Is Sole Proprietor?
No
Enumeration Date
09-04-2008
Last Update Date
03-09-2012
Code Navigator

A clinical psychologist like Keisha Mack assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY1000323
License State
DC
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

PSY1000323 (DC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
197803YT2MEDICARE PIN (08)DC 
160803YT2MEDICARE PIN (08)DC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104074970, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 7 + 8 + 9 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104074970.

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Obstetrics & Gynecology
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Internal Medicine
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Pediatrics (Pediatric Critical Care Medicine)
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Internal Medicine (Hematology & Oncology)
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Radiology (Vascular & Interventional Radiology)
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Radiology (Body Imaging)
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Pediatrics (Pediatric Hematology-Oncology)
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Internal Medicine (Nephrology)
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Obstetrics & Gynecology (Maternal & Fetal Medicine)
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Dermatology
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Radiology (Body Imaging)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104074970, enumerated as an "individual" on September 04, 2008.

The provider is located at 3800 RESERVOIR RD NW WASHINGTON, DC 20007 and the phone number is (202) 444-5437.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.