Keisha Mack, PH.D.
NPI 1104074970 · Clinical Psychologist · Washington, DC
Keisha Mack, PH.D. is a Clinical Psychologist provider in Washington, DC (NPI 1104074970).
Provider details
- NPI number
- 1104074970
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PSY1000323 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2012-03-09
Frequently asked questions
- What is Keisha Mack's NPI number?
- Keisha Mack's National Provider Identifier (NPI) is 1104074970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keisha Mack's specialty?
- Keisha Mack is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Keisha Mack located?
- Keisha Mack's practice location on file with NPPES is 3800 Reservoir Rd Nw, Washington, DC 20007-2113.
- What is Keisha Mack's phone number?
- The practice phone number listed in the NPPES registry for Keisha Mack is (202) 444-5437.
- Is Keisha Mack's NPI active?
- Yes — Keisha Mack's NPI (1104074970) is active in the NPPES registry as of the last update on 2012-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.