PAUL JEFFREY MACK CHTP, ED.D, MS, BA
NPI 1780740563
Specialist in Saint Louis, MO

Q: What is Paul Mack's NPI number?

The NPI number for Paul Mack is 1780740563. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Paul Mack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 28, 2006

1015 MCCAUSLAND AVE, SAINT LOUIS, MO 63117(314) 781-5050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Paul Jeffrey Mack Chtp, Ed.d, Ms, Ba NPPES

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

PAUL JEFFREY MACK CHTP, ED.D, MS, BA (NPI 1780740563) is an individual specialist in Saint Louis, Missouri, licensed in Colorado (2504) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1780740563

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NamePAUL JEFFREY MACKCredential: CHTP, ED.D, MS, BA

Location Address1015 MCCAUSLAND AVESaint Louis, MO 63117-1924

Mailing Address2960 Milton BlvdSaint Louis, MO 63104-1636 · (314) 497-5247

Phone(314) 781-5050

Sole ProprietorYes

Enumeration DateDecember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780740563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 2504

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1015 MCCAUSLAND AVE, Saint Louis, MO 63117

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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 Paul Mack's NPI number?

The NPI number for Paul Mack is 1780740563. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Paul Mack located?

Paul Mack practices at 1015 Mccausland Ave, Saint Louis, MO 63117. The listed phone number is (314) 781-5050.

What is Paul Mack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Paul Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.