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

Q: What is Keisha Mack's NPI number?

The NPI number for Keisha Mack is 1104074970. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Keisha Mack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Mack was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 04, 2008

3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 444-5437(202) 444-2931 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Keisha Lashon Mack Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEISHA LASHON MACK PH.D. (NPI 1104074970) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (PSY1000323) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1104074970

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEISHA LASHON MACKCredential: PH.D.

Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113

Mailing AddressPo Box 418407Boston, MA 02241-8407 · (703) 558-1544

Phone(202) 444-5437

Fax(202) 444-2931

Sole ProprietorNo

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMarch 9, 2012

✔ NPI 1104074970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in DC · PSY1000323

Definition

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY1000323 (DC)

3800 RESERVOIR RD NW, Washington, DC 20007

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Other Identifiers 2

Medicare PIN197803YT2DC

Medicare PIN160803YT2DC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAUSTUBH SUBHASH YADWADKAR M.D.

Radiology (Diagnostic Radiology)

3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007

District of Columbia (304) 206-7595

FRED MO MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

District of Columbia (202) 444-8766

SEBLE YIRGA

Nurse Practitioner (Family)

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

District of Columbia (202) 444-7265

ARLETTE THOMPSON-PILE

Physical Therapy Assistant

3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007

District of Columbia (202) 444-3689

JENNA ELIZABETH HOROWITZ

Physician Assistant (Surgical)

3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007

District of Columbia (202) 444-2000

HALEY SWANSON FOSTER M.D.

Radiology (Vascular & Interventional Radiology)

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

District of Columbia (202) 444-5022

SOPHIA RIZVI MD

Radiology (Radiation Oncology)

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

District of Columbia (202) 444-2000

CLAIRE DALBY MD

Student in an Organized Health Care Education/Training Program

3800 RESERVOIR RD NW
WASHINGTON, DC 20007

District of Columbia (202) 444-7106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Mack's NPI number?

The NPI number for Keisha Mack is 1104074970. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Keisha Mack located?

Keisha Mack practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 444-5437.

What is Keisha Mack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Keisha Mack was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.