Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255677969 Individual Practitioner Female Practitioner

Dr. Kaila Norman Mack , PhD

Psychologist - Cognitive & Behavioral • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kaila Mack, PhD is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Somerville, MA. Practice services are available at 165 MIDDLESEX AVE STE 1118 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

165 Middlesex Ave Ste 1118

Somerville, MA 021451105

Telephone 6179340219

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Somerville, MA (102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-25
Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MA 10244

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Psychologist - Cognitive & Behavioral

NUCC Taxonomy Code: 103TB0200X

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location September 25, 2024

Registered at 165 MIDDLESEX AVE STE 1118, SOMERVILLE, MA 021451105 (Tel: 6179340219)

📍
Updated Business Mailing Address September 25, 2024

Registered at PSC 701 BOX 371, APO, AP 965550004 (Tel: 6179340219)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Psychologist

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2017

Registered at 151 MERRIMAC ST FL 3, CHILD CBT PROGRAM AT MGH, BOSTON, MA 021144714 (Tel: 6177244913)

📍
Updated Business Mailing Address March 16, 2017

Registered at 72 VISTA AVE, MEDFORD, MA 021552030 (Tel: 6177244913)

👤
Provider Name / Credentials Updated March 16, 2017

Recorded as KAILA MACK, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Psychologist (License #10244 in MA)

NPI Profile Active December 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2012

Registered at 222 W VALERIO ST, SANTA BARBARA, CA 931012930 (Tel: 8055692785)

📍
Updated Business Mailing Address December 27, 2012

Registered at PO BOX 551, SANTA BARBARA, CA 931020551 (Tel: 8055692785)

👤
Provider Name / Credentials Updated December 27, 2012

Recorded as KAILA NORMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255677969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2012
Last Update: September 25, 2024
Sole Proprietor: Yes

Mailing Address

Psc 701 Box 371

Apo, AP 965550004

Phone: 6179340219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.