EBONY MACK PSYD
NPI 1861023087
Psychologist in Washington, DC

Active since January 27, 2020
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020(202) 547-8450 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebony Mack Psyd NPPES

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

EBONY MACK PSYD (NPI 1861023087) is an individual psychologist in Washington, District Of Columbia, licensed in District Of Columbia (PSYA00343) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1861023087
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameEBONY MACKCredential: PSYD
Location Address2041 MARTIN LUTHER KING JR AVE SEWashington, DC 20020-7024
Mailing Address11315 Kettering TerUpper Marlboro, MD 20774-1567 · (301) 974-2286
Sole ProprietorYes
Enumeration DateJanuary 27, 2020
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1861023087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in DC · PSYA00343
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSYA00343 (DC)
2041 MARTIN LUTHER KING JR AVE SE, Washington, DC 20020

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.

Social Worker
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Home Health Aide
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Home Health Aide
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Chiropractor
2041 MARTIN LUTHER KING JR AVE SE, SUITE E
WASHINGTON, DC 20020
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020
Community Health Worker
2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020

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 Ebony Mack's NPI number?

The NPI number for Ebony Mack is 1861023087. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Ebony Mack located?

Ebony Mack practices at 2041 Martin Luther King Jr Ave SE, Washington, DC 20020. The listed phone number is (202) 547-8450.

What is Ebony Mack's specialty?

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

When was this NPI record last updated?

The NPPES record for Ebony Mack was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.