What is Desmond Mack's NPI number?

Desmond Mack's National Provider Identifier (NPI) is 1053058800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Desmond Mack's specialty?

Desmond Mack is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).

Where is Desmond Mack located?

Desmond Mack's practice location on file with NPPES is 20411 W 12 Mile Rd Ste 104, Southfield, MI 48076-6404.

What is Desmond Mack's phone number?

The practice phone number listed in the NPPES registry for Desmond Mack is (248) 617-7545.

Is Desmond Mack's NPI active?

Yes — Desmond Mack's NPI (1053058800) is active in the NPPES registry as of the last update on 2022-05-13.

IndividualActive

Desmond Mack

NPI 1053058800 · Professional Counselor · Southfield, MI

Desmond Mack is a Professional Counselor provider in Southfield, MI (NPI 1053058800).

Provider details

NPI number: 1053058800
Entity type: Individual
Primary specialty: Professional CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: 640108797

Specialties & taxonomies

Professional CounselorPrimary101YP2500XLicense 640108797
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

20411 W 12 Mile Rd Ste 104

Southfield, MI 48076-6404

Phone: (248) 617-7545

Street-level locationGet directions

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Mailing address