MACKENZIE MOAK
NPI 1790656304
Counselor - School in Davis, CA

Q: What is Mackenzie Moak's NPI number?

The NPI number for Mackenzie Moak is 1790656304. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Q: What is Mackenzie Moak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Moak was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 16, 2025

1600 BIRCH LN, DAVIS, CA 95618(530) 757-5395 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mackenzie Moak NPPES

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

MACKENZIE MOAK (NPI 1790656304) is an individual school provider in Davis, California, licensed in California (250140594) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1790656304

Entity TypeIndividualFemale

Primary Taxonomy101YS0200X

Provider Legal NameMACKENZIE MOAK

Location Address1600 BIRCH LNDavis, CA 95618-1450

Mailing Address1600 Birch LnDavis, CA 95618-1450 · (530) 757-5395

Phone(530) 757-5395

Sole ProprietorNo

Enumeration DateSeptember 16, 2025

NPPES CertifiedSeptember 16, 2025

✔ NPI 1790656304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers

Taxonomy Code101YS0200X

License✔ Licensed in CA · 250140594

1600 BIRCH LN, Davis, CA 95618

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Other Providers at the Same Location NPPES

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

RUBY QURBAN

Behavior Technician

1600 BIRCH LN
DAVIS, CA 95618

Yolo County (530) 757-5398

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 Mackenzie Moak's NPI number?

The NPI number for Mackenzie Moak is 1790656304. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Mackenzie Moak located?

Mackenzie Moak practices at 1600 Birch Ln, Davis, CA 95618. The listed phone number is (530) 757-5395.

What is Mackenzie Moak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Mackenzie Moak was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.