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Paul Mack, CHTP, ED.D, MS, BA
NPI 1780740563 · Specialist · Saint Louis, MO
Paul Mack, CHTP, ED.D, MS, BA is a Specialist provider in Saint Louis, MO (NPI 1780740563).
Provider details
- NPI number
- 1780740563
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CHTP, ED.D, MS, BA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2504 (CO)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1015 Mccausland Ave
Saint Louis, MO 63117-1924
Phone: (314) 781-5050
Street-level locationGet directions
Mailing address
2960 Milton Blvd
Saint Louis, MO 63104-1636
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Paul Mack's NPI number?
- Paul Mack's National Provider Identifier (NPI) is 1780740563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Mack's specialty?
- Paul Mack is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Paul Mack located?
- Paul Mack's practice location on file with NPPES is 1015 Mccausland Ave, Saint Louis, MO 63117-1924.
- What is Paul Mack's phone number?
- The practice phone number listed in the NPPES registry for Paul Mack is (314) 781-5050.
- Is Paul Mack's NPI active?
- Yes — Paul Mack's NPI (1780740563) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.