LAURIN JARROLD MACK PH.D.
NPI 1780062638
Psychologist - Clinical in Chicago, IL

Q: What is Laurin Mack's NPI number?

The NPI number for Laurin Mack is 1780062638. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Laurin 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 Laurin Mack was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2015PECOS Enrolled

710 S PAULINA ST, SUITE 316A, CHICAGO, IL 60612(312) 563-2781 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Laurin Jarrold Mack Ph.d. NPPES

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

LAURIN JARROLD MACK PH.D. (NPI 1780062638) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009099) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780062638

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLAURIN JARROLD MACKCredential: PH.D.

Location Address710 S PAULINA ST, SUITE 316AChicago, IL 60612-3808

Mailing Address710 S Paulina St, Suite 316aChicago, IL 60612-3808 · (312) 563-2781

Phone(312) 563-2781

Sole ProprietorNo

Enumeration DateMay 12, 2015

Last NPPES UpdateApril 6, 2022

NPPES CertifiedApril 6, 2022

✔ NPI 1780062638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009099

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 ListedPsychologistTaxonomy 103T00000X · License 071009099 (IL)

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X

710 S PAULINA ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurin Jarrold Mack Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.