Mark B Mahacek is a Psychologist in Spring Lake, Michigan. Mark B Mahacek practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark B Mahacek is 1346330438. The last update date is 2023-10-05.
Mark B Mahacek's current location address is 19100 N Fruitport Rd, Spring Lake, Michigan. You can contact this provider via phone number 6168422125. The mailing address for Mark B Mahacek is 19100 N Fruitport Rd, Spring Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Mahacek |
|---|---|
| Address | 19100 N Fruitport Rd, Spring Lake, Michigan |
| Phone Number | 6168422125 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1346330438 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 19100 N Fruitport Rd |
|---|---|
| City | Spring Lake |
| State | Michigan (MI) |
| Post Code | 494561165 |
| Phone Number | 6168422125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | MM008350 |
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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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680G035200 | MI | BCBSM |
Post Comment/ Review Below
What is the unique identification code assigned to Mark B Mahacek by the Centers for Medicare & Medicaid Services?
The Mark B Mahacek has been issued the NPI (National Provider Identifier) 1346330438. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark B Mahacek is located?
The Mark B Mahacek is situated at the following address: 19100 N Fruitport Rd, Spring Lake, MI, 494561165.
What is Mark B Mahacek's area of expertise and its corresponding taxonomy classification?
The Mark B Mahacek's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
When did Mark B Mahacek receive its 1346330438 assignment?
The Mark B Mahacek was assigned its 1346330438 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark B Mahacek most recently updated?
The details pertaining to the Mark B Mahacek, including its address, specialty, and other relevant information, were last refreshed on 2023-10-05.