JULIE M MACK (PHD PSYCHOLOGY) – Clinical Psychologist, NPI 1306912415

JULIE M MACK (PHD PSYCHOLOGY) is a healthcare provider. based in Hanover, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD PSYCHOLOGY. They hold a License No. 3769 (MA). The NPI Number for JULIE M MACK (PHD PSYCHOLOGY) is 1306912415

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
JULIE M MACK (PHD PSYCHOLOGY)
NPI
1306912415
Phone
(781) 826-8228
Address
24 ROCKLAND ST
Enumeration Date
28 November 2006
Last Update Date
29 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
78182682281
Graduation Year
1984 (42 years ago)
PAC ID
0648437525
Professional Enrollment ID
I20120203000498
Address ID
MA023390000HA24XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for JULIE M MACK (PHD PSYCHOLOGY)

  • 24, Rockland Street, Hanover, Plymouth County, Massachusetts, 02339, United States

    UNIT 7 HANOVER PSYCHOLOGICAL ASSOCIATES

    HANOVER, MA 023392226

    Phone: (781) 826-8228

    Fax: (781) 826-0965

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120203000498IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes27818$0
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Insurance plans in this area (ZIP 02339)

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Reviews

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Frequently asked questions

What identifier follows JULIE M MACK (PHD PSYCHOLOGY) across health systems?
The NPI 1306912415 uniquely identifies JULIE M MACK (PHD PSYCHOLOGY) in U.S. healthcare data.
Does the public listing show JULIE M MACK (PHD PSYCHOLOGY) as active?
JULIE M MACK (PHD PSYCHOLOGY)'s NPI record reflects an active status in NPPES.
What does the directory say JULIE M MACK (PHD PSYCHOLOGY) does?
Insurance directories may phrase it differently, but here JULIE M MACK (PHD PSYCHOLOGY) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit JULIE M MACK (PHD PSYCHOLOGY) in Hanover, Massachusetts?
For routing, start with Hanover, Massachusetts for JULIE M MACK (PHD PSYCHOLOGY), then verify phone and hours locally.
Who maintains JULIE M MACK (PHD PSYCHOLOGY)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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