MARY LYNNE MACK PHD
NPI 1700811015
Psychologist in Scottsdale, AZ

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
5635 N SCOTTSDALE RD STE 170, SCOTTSDALE, AZ 85250(480) 737-6076 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2026, Nov 15, 2019 (2 updates tracked since 2019).

About Mary Lynne Mack Phd NPPES

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

MARY LYNNE MACK PHD (NPI 1700811015) is an individual psychologist in Scottsdale, Arizona, licensed in Wisconsin (2598-057) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1700811015
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY LYNNE MACKCredential: PHD
Location Address5635 N SCOTTSDALE RD STE 170Scottsdale, AZ 85250-5945
Mailing Address1647 N Sierra Vista DrTempe, AZ 85288-1462 · (480) 737-6076
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 29, 20262 updates tracked since enumeration
NPPES CertifiedMarch 29, 2026
NPI 1700811015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in WI · 2598-057 Licensed in AZ · PSY-005478
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5635 N SCOTTSDALE RD STE 170, Scottsdale, AZ 85250

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Lynne Mack Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244240950
PECOS Enrollment IDI20260401003471
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Psychologist (Clinical)
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250
Psychologist (Clinical)
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250
Counselor (School)
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250
Emergency Medicine
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250
Psychologist (Clinical)
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250
Home Health Aide
5635 N SCOTTSDALE RD STE 170
SCOTTSDALE, AZ 85250

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 Mary Mack's NPI number?

The NPI number for Mary Mack is 1700811015. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Mary Mack located?

Mary Mack practices at 5635 N Scottsdale Rd Ste 170, Scottsdale, AZ 85250. The listed phone number is (480) 737-6076.

What is Mary Mack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Mack enrolled in Medicare?

Yes. Mary Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Mack accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mary Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mack was last updated on March 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.